Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1013853621 Individual Practitioner Male Practitioner

Jonathan Sandoval , CCMA

Physician Assistant • Campo, CA

Professional Overview & Biography Verified Profile Summary

Jonathan Sandoval, CCMA is a registered healthcare professional specializing in Physician Assistant in Campo, CA. Practice services are available at 1777 BUCKMAN SPRINGS RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1777 Buckman Springs Rd

Campo, CA 919062022

Telephone 6194785696
Associated Practice Facility / Clinic
🏢 San Diego Freedom Ranch, Inc. Facility NPI 1093937591

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Campo, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
1 Specialists

Practicing in Campo, CA (14617 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-04-27
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA H3H9T5M9

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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Omar Hernandez , RADT

Counselor - Addiction (Substance Use Disorder)

NPI 1013727262
Marco Martinez , RADT

Counselor - Addiction (Substance Use Disorder)

NPI 1043820202
Corinna Bynum , RN

Registered Nurse - Administrator

NPI 1043910508

Registered Nurse

Tim Shaplin , RADT

Counselor - Addiction (Substance Use Disorder)

NPI 1073499471
Carlos Ramirez , RADT

Counselor - Addiction (Substance Use Disorder)

NPI 1104689918
Christopher Serna , CPSS

Counselor - Addiction (Substance Use Disorder)

NPI 1104712090

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active April 27, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location April 27, 2026

Registered at 1777 BUCKMAN SPRINGS RD, CAMPO, CA 919062022 (Tel: 6194785696)

📍
Updated Business Mailing Address April 27, 2026

Registered at 1777 BUCKMAN SPRINGS RD, CAMPO, CA 919062022 (Tel: 6194785696)

👤
Provider Name / Credentials Updated April 27, 2026

Recorded as JONATHAN SANDOVAL, CCMA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2026

Physician Assistant (License #H3H9T5M9 in CA)

🟢
Initial NPI Registration & Enumeration April 27, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013853621
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 27, 2026
Last Update: April 27, 2026
Sole Proprietor: No

Mailing Address

1777 Buckman Springs Rd

Campo, CA 919062022

Phone: 6194785696

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.