Active NPI
Rufina Sandoval, LCSW
- Clinical Social Worker
- Los Angeles, CA
National Provider Identifier
1003034117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 27297
- Practice address
- 6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815 - Phone
- (925) 282-1778
- Fax
- (415) 296-5299
- NPI assigned
- Apr 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Clinical Social Worker | 1041C0700X | 27297 | CA | Primary |
Addresses
Primary practice location
6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Mailing address
6200 Wilshire Blvd Ste 1410
Los Angeles, CA 90048-5815
Phone (925) 282-1778
Other practice location 1
303 E Olive Ave
Porterville, CA 93257-4871
Phone (559) 782-4151
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27297 | CA | MD | Oral and Maxillofacial Surgery (Dentist) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Tulare | Past | Accepting new patients | |
| County of Tulare | Past | Accepting new patients |
Interoperability endpoints
- rufina.sandoval.p4@direct.vht.nextgenshare.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Porterville, CA
- NPI 1053356634
-
- Community/Behavioral Health Agency
- Porterville, CA
- NPI 1518418581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1003034117",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6200 WILSHIRE BLVD STE 1410",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485815",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 WILSHIRE BLVD STE 1410",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900485815",
"telephone_number": "925-282-1778",
"fax_number": "415-296-5299"
}
],
"practiceLocations": [
{
"address_1": "303 E Olive Ave",
"address_purpose": "LOCATION",
"city": "Porterville",
"state": "CA",
"postal_code": "932574871",
"country_code": "US",
"telephone_number": "559-782-4151",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL",
"first_name": "RUFINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-23",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "27297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.