Carlos Sandoval, CSFA

Primary specialty

Surgical AssistantTaxonomy code 246ZC0007X

License

164680 Issued in TX

Practice address

214 Riley LN
Fredericksburg, TX 78624-3562

Phone

(214) 227-2457

Fax

(214) 764-0880

NPI assigned

Mar 29, 2016

Last updated

Aug 10, 2021By 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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• River City Assisting, LLC

  • Surgical Assistant
  • Fredericksburg, TX
  • NPI 1891160032
  NPD Authorized official
• Sandoval Assisting, LLC

  • Surgical Assistant
  • Fredericksburg, TX
  • NPI 1912860404
  NPD Authorized official

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1992168843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 RILEY LN",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243562",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 RILEY LN",
            "city": "FREDERICKSBURG",
            "state": "TX",
            "postal_code": "786243562",
            "telephone_number": "214-227-2457",
            "fax_number": "214-764-0880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "CARLOS",
        "credential": "CSFA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-03-29",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZC0007X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Assistant",
            "state": "TX",
            "license": "164680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Michael Royea, LCSW
• Tommy Russell, LPC
• San Antonio Kidney Disease Center Physicians Group, P.L.L.C.
• San Antonio Kidney Disease Center Physicians Group, P.L.L.C.
• Sandoval Assisting, LLC
• Scharold Services Association (Mary L. Scharold, M.D.)
• Mary L Scharold, M.D.
• Chenoa Rae Schmidt, PT, DPT
• Robin Schmidt
• Thomas Edward Schmidt, D.D.S.

• Surgical Assistant in Fredericksburg, TX
• Providers in Fredericksburg, TX by specialty
• Surgical Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.