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

Rebecca Mae Sandoval, PA-C

Individual provider Physician Assistant · NPI 1417647850

Rebecca Mae Sandoval, PA-C is a Physician Assistant in Elkhart, Indiana. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
1
Licensed in
IN
In the registry since
2023
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

57818 Weathered Pine Ct
Elkhart, IN 46517-8811
Phone: (574) 343-3515
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (IN)

Record details

NPI number1417647850
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedMay 9, 2023
Last updated in NPPESApril 15, 2026
Certification dateApril 15, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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