Bryan Felipe Sandoval, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA58130 Issued in CA

Practice address

12462 Putnam St
Whittier, CA 90602-1048

Phone

(562) 789-5429

NPI assigned

Jul 31, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

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.

• Kevin J. Pelton MD, Inc.

  • Orthopaedic Surgery Physician
  • Los Angeles, CA
  • NPI 1679771703
  Medicare reassignment NPD
• Kevin J Pelton MD Inc

  • Durable Medical Equipment & Medical Supplies
  • Glendale, CA
  • NPI 1710764576
  NPD
• Kevin J. Pelton MD, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Santa Fe Springs, CA
  • NPI 1821711870
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1564531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1902450620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8559 SAN JACINTO CT",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917304338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12462 PUTNAM ST",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906021048",
            "telephone_number": "562-789-5429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "BRYAN",
        "middle_name": "FELIPE",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-31",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miguel Angel Sanchez, FNP-C
• Natalie Elizabeth Sanchez
• Nora Sanchez, ASW
• Sandra Sandoval-Gonzalez
• Adriana Lissette Sandoval, MSW
• Cassandra Sandoval
• Fatima Sandoval
• Oscar Moreno Sandoval, LCSW
• Tonia Sandoval, RN
• Yolanda Sandoval

• Physician Assistant in Whittier, CA
• Providers in Whittier, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.