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

Jonathan Sandoval, CCMA

Individual provider Physician Assistant · NPI 1013853621

Jonathan Sandoval, CCMA is a Physician Assistant in Campo, California. Licensed in California. Registered with an NPI since 2026.

Licensed in
CA
In the registry since
2026

Practice location Address checks out

1777 Buckman Springs Rd
Campo, CA 91906-2022
Phone: (619) 478-5696
Show map & directions

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

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence H3H9T5M9 (CA)

Record details

NPI number1013853621
Entity typeIndividual (Type 1)
GenderMale
Credentials CCMA
Sole proprietorNo
NPI enumeratedApril 27, 2026
Last updated in NPPESApril 27, 2026
Certification dateApril 27, 2026
Mailing address1777 Buckman Springs Rd, Campo, CA 91906-2022