Active NPI
Sanders Cabradilla Sandoval, MSN, ACNP-BC
- Acute Care Nurse Practitioner
- Honolulu, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- NP1196
- Practice address
- 1301 Punchbowl St
Honolulu, HI 96813-2402 - Phone
- (808) 537-7867
- Fax
- (808) 547-4001
- NPI assigned
- Oct 31, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | NP17256 | CA | |
| Acute Care Nurse Practitioner | 363LA2100X | NP1196 | HI | Primary |
Addresses
Primary practice location
1301 Punchbowl St
Honolulu, HI 96813-2402
Mailing address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 537-7876
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
226 N Kuakini St
Honolulu, HI 96817-2488
Phone (808) 531-3511
770 Kapiolani Blvd
Suite 500
Honolulu, HI 96813-5258
Phone (808) 666-9960
98 -1079 Moanalua Rd
Suite 480
Aiea, HI 96701-4723
Phone (808) 488-3400
Hospital & facility affiliations
- Pali Momi Medical Center
- The Queens Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.72 of 100
- Quality
- 67.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.18
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.35 of 100
- Quality
- 67.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP17256 | CA | MD | Acute Care Nurse Practitioner |
| NP1196 | HI | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mi-Health LLC | Current | Accepting new patients | |
| Rehab Associates of the Pacific LLC | Current | Accepting new patients | |
| Rehabilitation Hospital of the Pacific | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| The Queen'S Medical Center | Current | Accepting new patients | |
| Rehabilitation Hospital of the Pacific | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| Provider Partners Care Management LP | Current | Accepting new patients | |
| Straub Clinic & Hospital | Current | Accepting new patients | |
| The Queens Medical Center | Current | Accepting new patients | |
| Hosanna LLC | Past | Accepting new patients | |
| Kapiolani Medical Center for Women & Children | Past | Accepting new patients | |
| Straub Clinic & Hospital | Past | Accepting new patients |
Locations
98-1005 Moanalua Rd
Spc 425
Aiea, HI 96701
Phone (808) 486-8000
98-1079 Moanalua Rd
Ste 680
Aiea, HI 96701
Phone (808) 485-4250
98-1079 Moanalua Rd
Ste 480
Aiea, HI 96701
Phone (808) 487-8922
550 S Beretania St
Ste 404
Honolulu, HI 96813
Phone (808) 691-8897
1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011
1100 Ward Ave
Ste 700
Honolulu, HI 96814
Phone (808) 221-8580
888 S King St
Honolulu, HI 96813
Phone (808) 522-4000
2230 Liliha St
Honolulu, HI 96817
Phone (808) 547-6011
226 N Kuakini St
Honolulu, HI 96817
Phone (808) 531-3511
770 Kapiolani Blvd
Ste 500
Honolulu, HI 96813
Phone (808) 666-9960
770 Kapiolani Blvd
Ste 114
Honolulu, HI 96813
Phone (808) 666-9960
45-181 Waikalua Rd
Kaneohe, HI 96744
Phone (808) 247-0003
8820 Columbia 100 Pkwy
Ste 430
Columbia, MD 21045
Phone (410) 967-2097
Interoperability endpoints
- sanders.sandoval@532995347120132.direct.elationemr.com
Organizations & group practices 14
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Honolulu, HI
- NPI 1154064855
-
- Physical Medicine & Rehabilitation Physician
- Honolulu, HI
- NPI 1114322880
-
- Multi-Specialty Clinic/Center
- Aiea, HI
- NPI 1275588329
-
- Rehabilitation Hospital
- Honolulu, HI
- NPI 1598785388
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1730580424
-
- Multi-Specialty Clinic/Center
- Honolulu, HI
- NPI 1457306508
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1487693586
-
- Community/Retail Pharmacy
- Honolulu, HI
- NPI 1295443216
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
-
- Urgent Care Clinic/Center
- Honolulu, HI
- NPI 1528691383
-
- Family Medicine Physician
- Kealakekua, HI
- NPI 1376661520
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268956800000",
"number": "1881873487",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 PUNCHBOWL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132402",
"telephone_number": "808-537-7876",
"fax_number": "808-547-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 PUNCHBOWL ST",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968132402",
"telephone_number": "808-537-7867",
"fax_number": "808-547-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "SANDERS",
"middle_name": "CABRADILLA",
"credential": "MSN, ACNP-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-31",
"last_updated": "2010-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "NP17256",
"primary": false
},
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "HI",
"license": "NP1196",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Honolulu, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.