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

Dr. Jay Lee Sandoval, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1851181200

Dr. Jay Lee Sandoval, MD is a Student in an Organized Health Care Education/Training Program in Jackson, Michigan. Licensed in New Mexico. Registered with an NPI since 2025.

Licensed in
NM
In the registry since
2025
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

205 N East Ave
Jackson, MI 49201-1753
Phone: (517) 205-4800
Fax: (517) 205-7346
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 4351055214 (NM)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1851181200
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 8, 2025
Last updated in NPPESJune 19, 2025
Certification dateJune 19, 2025
Mailing address4030 Zygmunt Dr, Jackson, MI 49201-8466

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