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

Jeannette Sandoval

Individual provider Registered Nurse · NPI 1376182402

Jeannette Sandoval is a Nurse Practitioner in Castro Valley, California. Qualified in 2019, 7 years ago. Practices with Escalon Physical Medicine Inc, a 2-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
7
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

22101 Redwood Rd Unit B Unit B
Castro Valley, CA 94546-7107
Phone: (510) 648-9012
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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 95012896 (CA)
Registered Nurse Taxonomy 163W00000X · Licence 839846 (CA)

Record details

NPI number1376182402
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 6, 2020
Last updated in NPPESJanuary 11, 2020
Certification dateJanuary 11, 2020
Mailing address744 Twin Oaks Dr, Tracy, CA 95377-8746

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Escalon Physical Medicine Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Castro Valley