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

Derek Sandoval

Individual provider Acute Care Nurse Practitioner · NPI 1740745249

Derek Sandoval is a Nurse Practitioner in Albuquerque, New Mexico. Qualified in 2018, 8 years ago. Practices with Southwest Medical Associates, LLC, a 325-clinician group and accepts Medicare assignment. Licensed in New Mexico.

Years since qualifying
8
Licensed in
NM
In the registry since
2019
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Practice location Address checks out

1100 Central Ave SE
Albuquerque, NM 87106-4934
Phone: (505) 724-6125
Fax: (505) 724-6125
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 54702 (NM)

Record details

NPI number1740745249
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 8, 2019
Last updated in NPPESFebruary 8, 2019

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southwest Medical Associates, Llc — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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