Jonathan Sandoval, CCMA

Physician Assistant · Campo, CA

Individual Active NPI

NPI number 1013853621

Practice location

1777 Buckman Springs Rd
Campo, CA 91906-2022
Phone
(619) 478-5696

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NPI record

NPI
1013853621
Entity type
Individual (Type 1)
Enumeration date
April 27, 2026
Last updated
April 27, 2026
Certified
April 27, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Physician Assistant Primary 363A00000X H3H9T5M9 CA

About Jonathan Sandoval

Jonathan Sandoval, CCMA is a healthcare provider registered in the NPI registry with the primary taxonomy Physician Assistant (code 363A00000X). The practice location is 1777 Buckman Springs Rd, Campo, CA 91906-2022. The NPI number 1013853621 was assigned on April 27, 2026 and the record was last updated on April 27, 2026.

Jonathan Sandoval lists a license in the registry: #H3H9T5M9 (CA) for Physician Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Sandoval, CCMA?

The NPI number is 1013853621.

What is the phone number of Jonathan Sandoval?

The phone number listed for the practice location is (619) 478-5696.

Where is Jonathan Sandoval located?

1777 Buckman Springs Rd, Campo, CA 91906-2022.

What is the taxonomy code for Jonathan Sandoval?

The primary taxonomy code is 363A00000X – Physician Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.