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Zachary Emmanuel Wan Sandoval, MD, MPH

Student in an Organized Health Care Education/Training Program in San Francisco, CA. Individual provider (NPI-1).

NPI number1003676768
StatusActive
Last updated in NPPESMar 20, 2024

Details

NPI
1003676768
Entity type
Individual (NPI-1)
Name
Zachary Emmanuel Wan Sandoval
Credential
MD, MPH
Sex
Male
Sole proprietor
No
Enumeration date
Mar 20, 2024
Certification date
Mar 20, 2024
Last updated
Mar 20, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
390200000X Student in an Organized Health Care Education/Training Program––Yes

Practice location

550 16th St Fl 4
San Francisco, CA 94143-2549

Phone 415-476-5001

Mailing address

550 16th St Fl 4
San Francisco, CA 94143-2549

Phone 415-476-5001

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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