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

Kelsey Sandoval, PA-C

Individual provider Physician Assistant · NPI 1407314552

Kelsey Sandoval, PA-C is a Physician Assistant in Meridian, Idaho. Graduated from Loma Linda University School of Medicine in 2018, 8 years ago. Practices with Saint Alphonsus Regional Medical Center Inc, a 673-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Idaho.

Years since qualifying
8
Trained at
Loma Linda University School of Medicine
Licensed in
CA, ID
In the registry since
2019
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

3025 W Cherry Ln Ste A
Meridian, ID 83642-8531
Phone: (208) 302-6450
Fax: (208) 302-6455
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 16850 Bear Valley Rd, Victorville, CA 92395-5794 — (760) 241-8000

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA-2375 (ID)
Physician Assistant Taxonomy 363A00000X · Licence 56457 (CA)

Record details

NPI number1407314552
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMarch 7, 2019
Last updated in NPPESNovember 28, 2022
Certification dateNovember 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Saint Alphonsus Regional Medical Center Inc — 673 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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