Itzel Sandoval-Reynoso, PA-C
NPI 1356011514 · Physician Assistant · St Augustine, FL
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Itzel Sandoval-Reynoso, PA-C is a Physician Assistant provider in St Augustine, FL (NPI 1356011514).
Provider details
- NPI number
- 1356011514
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- License
- PA9115077 (FL)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 4500 San Pablo Rd SJacksonville, FL 32224-1865Phone: (904) 953-2000
Registry dates
- Enumerated
- 2021-09-17
- Last updated
- 2025-11-21
- Certified
- 2025-11-21
Frequently asked questions
- What is Itzel Sandoval-Reynoso's NPI number?
- Itzel Sandoval-Reynoso's National Provider Identifier (NPI) is 1356011514, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Itzel Sandoval-Reynoso's specialty?
- Itzel Sandoval-Reynoso is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Itzel Sandoval-Reynoso located?
- Itzel Sandoval-Reynoso's practice location on file with NPPES is 380 Pine Leaf Dr, St Augustine, FL 32092-1462.
- What is Itzel Sandoval-Reynoso's phone number?
- The practice phone number listed in the NPPES registry for Itzel Sandoval-Reynoso is (904) 707-3147.
- Does Itzel Sandoval-Reynoso accept Medicare?
- Itzel Sandoval-Reynoso is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Itzel Sandoval-Reynoso's NPI active?
- Yes — Itzel Sandoval-Reynoso's NPI (1356011514) is active in the NPPES registry as of the last update on 2025-11-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.