Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Sandoval, PA

Individual provider Surgical Physician Assistant · NPI 1396613162

Anthony Sandoval, PA is a Physician Assistant in Phoenix, Arizona. Graduated from Creighton University School of Dentistry in 2025, 1 year ago. Practices with District Medical Group Inc, a 450-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
1
Trained at
Creighton University School of Dentistry
Licensed in
AZ
In the registry since
2025
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone: (602) 344-5011
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 11502 (AZ)

Record details

NPI number1396613162
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 24, 2025
Last updated in NPPESJanuary 28, 2026
Certification dateJanuary 28, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolCREIGHTON UNIVERSITY SCHOOL OF DENTISTRY
Graduated 2025 (1 years in practice)
Group practice District Medical Group Inc — 450 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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