Andrew Raphael Sandoval, DC

Primary specialty

Rehabilitation ChiropractorTaxonomy code 111NR0400X

License

15748 Issued in TX

Practice address

575 Commercial St
Eagle Pass, TX 78852-4211

Phone

(830) 776-1289

NPI assigned

Jan 29, 2024

Last updated

Sep 29, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TX

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Peakform Chiropractic & Rehab LLC

  • Rehabilitation Chiropractor
  • Eagle Pass, TX
  • NPI 1093538993
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1706486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1942062450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 COMMERCIAL ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524211",
            "telephone_number": "830-776-1289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 COMMERCIAL ST",
            "city": "EAGLE PASS",
            "state": "TX",
            "postal_code": "788524211",
            "telephone_number": "830-776-1289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ANDREW",
        "middle_name": "RAPHAEL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-29",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "15748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ariana Saldana
• Claudia Daniela Salinas, AGNP-C
• Ida Joanne Salinas, RN
• San Antonio Extended Medical Care, Inc. (Med Mart)
• San Antonio Prosthetics, Corporation
• Cruz Victor Sandoval, RMT
• Edward Michael Sandoval, LMT
• Erika Sandoval, LPC
• Fe Sandoval, NURSE PRACTITIONER
• Manuel Sandoval

• Rehabilitation Chiropractor in Eagle Pass, TX
• Providers in Eagle Pass, TX by specialty
• Rehabilitation Chiropractor in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2025; 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.

Verify at the official NPI Registry.