Individual provider · Type 1 NPI

Jonathan Sandoval, CCMA

Physician Assistant · Campo, CA

NPI number 1013853621 Active

Practice location

1777 Buckman Springs Rd
Campo, CA 91906-2022

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XH3H9T5M9 (CA)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

74 other providers at this address

About NPI 1013853621

Jonathan Sandoval, CCMA's National Provider Identifier is 1013853621, issued on Apr 27, 2026. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Campo, CA. The record was last updated on Apr 27, 2026.