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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1629574371

Dr. Omar Fuentes Sandoval, MD is a Student in an Organized Health Care Education/Training Program in Fresno, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
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

155 N Fresno St
Fresno, CA 93701-2302
Phone: (559) 499-6450
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence A173882 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1629574371
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2018
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022

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