| Jesus Sandoval, | |
|
4361 Latham St Ste 270, Riverside, CA 92501-4332 | |
| (720) 822-3645 | |
| Not Available |
| Full Name | Jesus Sandoval |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 6 Years |
| Location | 4361 Latham St Ste 270, Riverside, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821684580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 95016256 (California) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | 95016256 (California) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Nightingale Clinical Care Pc | 2365871464 | 12 |
| Greater Good Health Pc Inc | 5294106027 | 48 |
| Altea Medical California Pc | 1850740150 | 84 |
| Entity Name | Nightingale Clinical Care PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972159069 PECOS PAC ID: 2365871464 Enrollment ID: O20200409003495 |
| Entity Name | Greater Good Health PC Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1821673005 PECOS PAC ID: 5294106027 Enrollment ID: O20230113001472 |
| Entity Name | Altea Medical California PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1174302954 PECOS PAC ID: 1850740150 Enrollment ID: O20231212002787 |
| Mailing Address | Practice Location Address |
|---|---|
| Jesus Sandoval, 4361 Latham St Ste 270, Riverside, CA 92501-4332 Ph: (720) 822-3645 | Jesus Sandoval, 4361 Latham St Ste 270, Riverside, CA 92501-4332 Ph: (720) 822-3645 |
Alice Chinyere Echeta, FNP, PMHNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4960 Arlington Ave Ste B, Riverside, CA 92504 Phone: 951-341-8930 |
Obianuju Rivera, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3801 University Ave Ste 270, Riverside, CA 92501 Phone: 855-427-2778 Fax: 951-530-3997 |
Luamy Gabriela Cornejo, PNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 4440 Brockton Ave Ste 100, Riverside, CA 92501 Phone: 951-684-1293 |
Christine Pham Duong, DNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 5549 Van Buren Blvd, Riverside, CA 92503 Phone: 951-324-5901 Fax: 877-778-9472 |
Namrata Nicole Sihotang, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 19330 Jesse Ln Ste 100, Riverside, CA 92508 Phone: 844-827-8000 |
Maiying Her, CPNP-PC Nurse Practitioner Medicare: May Accept Medicare Assignments Practice Location: 2933 University Ave, Riverside, CA 92507 Phone: 951-224-8220 |
Liliana Amaya, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3419 Eucalyptus Ave, Riverside, CA 92507 Phone: 951-218-4016 |