NPI age
18 years
Enumerated 2007-10-30
● Active Type 2 · Organization
Sandoval Center For Medicine, Chartered
Sandoval Center For Medicine, Chartered is 1 of 3 phlebology organizations in Idaho.
Primary specialty
Phlebology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Sandoval
President
Last NPPES update
2008-03-11
Source: monthly bulk 2026-05
How this organization compares
Across 3 active phlebology providers in Idaho.
NPI age
18 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-10Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
1199 Shoreline Ln, Ste. 310
Boise, ID 837026813
Mailing address
Po Box 7130
Boise, ID 837071130
Authorized official
Jesse Sandoval, D.O.
President
📞 2083331472
Specialties
-
Phlebology PrimaryPhlebology is the medical discipline that involves the diagnosis and treatment of venous disorders, including spider veins, varicose veins, chronic venous insufficiency, venous leg ulcers, congenital venous abnormalities, venous...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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