Active NPI
Jeffry Sandoval, CRNA
- Certified Registered Nurse Anesthetist
- South Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 11006627
- Practice address
- 6200 SW 73Rd St
South Miami, FL 33143-4679 - Phone
- (305) 740-0823
- NPI assigned
- Feb 12, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 11006627 | FL | Primary |
Addresses
Primary practice location
6200 SW 73Rd St
South Miami, FL 33143-4679
Mailing address
8320 NW 8TH St Apt 314
Miami, FL 33126-3919
Phone (786) 709-5004
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Florida International Univ, College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11190 Health Park Blvd
Naples, FL 34110-5729
Phone (239) 624-5000
350 7TH St N
Naples, FL 34102-5754
Phone (239) 624-5000
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-5600
Hospital & facility affiliations
- Naples Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.8 of 100
- Quality
- 99.47
- Improvement activities
- 40
- Cost
- 83.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11006627 | FL | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Landmark Hospital of Southwest Florida, LLC | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Greater Miami, PA | Current | Accepting new patients | |
| Nchmd, Inc | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients | |
| Nchmd Inc | Current | Accepting new patients | |
| Gulf-to-Bay Anesthesiology Associates LLC | Current | Accepting new patients |
Locations
24040 Tamiami Trl
Bonita Springs, FL 34134
Phone (239) 624-7153
3650 NW 82nd Ave
Ste 101
Doral, FL 33166
Phone (305) 341-7280
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
680 2nd Ave N
Ste 304
Naples, FL 34102
Phone (239) 261-7711
1285 Creekside Blvd E
Unit 102
Naples, FL 34109
Phone (239) 624-0310
850 111th Ave N
Naples, FL 34108
Phone (239) 596-2557
15238 Virginia Sta
Odessa, FL 33556
Phone (813) 596-5200
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
6110 SW 70th St
South Miami, FL 33143
Phone (305) 662-3100
6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- South Miami, FL
- NPI 1497700140
-
- Anesthesiology Physician
- Tampa, FL
- NPI 1720039746
-
- Hematology & Oncology Physician
- Naples, FL
- NPI 1831120195
-
- Anesthesiology Physician
- Largo, FL
- NPI 1316205339
-
- Pain Medicine (Anesthesiology) Physician
- Tampa, FL
- NPI 1326375585
-
- Long Term Care Hospital
- Lehigh Acres, FL
- NPI 1932595659
-
- Durable Medical Equipment & Medical Supplies
- Naples, FL
- NPI 1033904651
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1581465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584403200000",
"number": "1881226397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8320 NW 8TH ST APT 314",
"city": "MIAMI",
"state": "FL",
"postal_code": "331263919",
"telephone_number": "786-709-5004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 SW 73RD ST",
"city": "SOUTH MIAMI",
"state": "FL",
"postal_code": "331434679",
"telephone_number": "305-740-0823"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "JEFFRY",
"name_prefix": "Mr.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-02-12",
"last_updated": "2020-03-17",
"certification_date": "2020-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11006627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Miami, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.