NPI age
7 years
Enumerated 2019-03-07
● Active
Type 1 · Individual
Kelsey Sandoval, PA-C
Sandoval is 1 of 132 physician assistant providers in Meridian and 1 of 1263 in Idaho.
Primary specialty
Physician Assistant
Plus 1 subspecialty
Licensed in
ID, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2022-11-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 1263 active physician assistant providers in Idaho.
NPI age
7 years
↓ 2 yr below median (9 yr)
State licenses
2 states
Top 81% — 19% of peers are multi-state
Subspecialties
0
35% of peers hold subspecialties
NPI lifetime · 2019 → 2026
2019-03Enumerated in NPPES
2019
2026
Where they practice
Practice location
3025 W Cherry Ln Ste A
Meridian, ID 836428531
Mailing address
3340 E Goldstone Dr
Meridian, ID 836421026
Additional practice locations
1 secondary location on file with NPPES.
Location 2
16850 Bear Valley Rd
Victorville, CA 923955794
Specialties
-
Physician Assistant PrimaryA 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...
Practice context
Part of a multi-provider practice. 6 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Meridian in the last 180 days.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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