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

Jesus Sandoval

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1821684580

Jesus Sandoval is a Nurse Practitioner in Riverside, California. Qualified in 2020, 6 years ago. Practices with Nightingale Clinical Care PC, a 10-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

4361 Latham St Ste 270
Riverside, CA 92501-4332
Phone: (720) 822-3645
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 95016256 (CA)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 95016256 (CA)

Record details

NPI number1821684580
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 16, 2020
Last updated in NPPESJune 2, 2026
Certification dateJune 2, 2026
Mailing address4361 Latham St Ste 270, Riverside, CA 92501-4332

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Nightingale Clinical Care Pc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

Other providers in Riverside