Individual ProviderLuisa SandovalPediatricsAllopathic & Osteopathic PhysiciansPractice Address3145 Porter Dr Rm B119, Palo Alto, CA 94304-1234(650) 725-8995PECOS EnrollmentBased on the most recent information from CMS, provider Luisa Sandoval is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records yesterday at 11:17 AM.Profile DetailsProvider ID1538554308Provider TypeIndividualFull NameSandoval, LuisaCredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date3/30/2015Last Updated2/2/2026Contact InformationPractice LocationPractice Address3145 Porter Dr Rm B119, Palo Alto, CA 94304-1234Phone(650) 725-8995FaxUnlisted FaxMailing LocationMailing Address3145 Porter Dr Rm B119, Palo Alto, CA 94304-1234PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode208000000XPrimaryDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense183253CaliforniaCode208000000XDescriptionPediatricsAllopathic & Osteopathic PhysiciansLicense29739Nebraska