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DR. JESSE SANDOVAL D.O. NPI 1972552271


NPI Information

NPI: 1972552271
Provider Name: DR. JESSE SANDOVAL, D.O.
Classification: Phlebology - 202K00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
245 N BINKLEY ST STE 101
SOLDOTNA, AK
ZIP 99669
Phone: (907) 714-4111
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DR. Jesse Sandoval, D.O. is a phlebology in Soldotna, AK with 35 years of experience. The provider is phlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous thromboembolism and other disorders of venous origin. A phlebologist has attained a minimum of 50 hours of CME units in phlebology-related courses, and is knowledgeable of and trained in a variety of diagnostic techniques including physical examination, venous imaging techniques such as duplex ultrasound, CT and MR, plethysmographic techniques and laboratory evaluation related to venous thromboembolism. The phlebologist is also trained in a variety of therapeutic interventions, which may include compression, sclerotherapy, cutaneous vascular laser, endovenous thermoablation procedures (laser and radiofrequency) endovenous chemical ablation, surgical procedures (e.g., ambulatory phlebectomy, venous ligation), vasoactive medications and the management of venous thromboembolism. DR. Jesse Sandoval, D.O. NPI is 1972552271. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduation Year:1989

The provider's business location address is:

245 N BINKLEY ST STE 101
SOLDOTNA, AK
ZIP 99669-500
Phone: (907) 714-4111
Fax: (907) 262-5191

The NPI 1972552271 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/6/2006 and was last updated on 12/19/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine0124IDAHONo
2202K00000XPhlebologyO124IDAHOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1S4620OTHERIDAHOBLUE CROSS OF IDAHO
2200489062OTHERIDAHOPRIMARY HEALTH NETWORK
3200489062OTHERIDAHOTRICARE WEST
40004676625OTHERIDAHOAETNA
5200489062OTHERIDAHOPRINCIPAL LIFE INSURANCE
6004314700MEDICAIDIDAHO
7200489062OTHERIDAHOMUTUAL OF OMAHA
8200489062OTHERIDAHOHCS HEALTH CLAIMS SERVICE
9000010145826OTHERIDAHOREGENCE BLUE SHEILD
10200489062OTHERIDAHOUNITED HEALTH CARE
11200489062OTHERIDAHOCIGNA HEALTH CARE
12200489062OTHERIDAHOFIRST HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.