Josue Sandoval, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA5370 Issued in CA

Practice address

1625 Oak Park Blvd
Pleasant Hill, CA 94523-4487

Phone

(925) 935-5222

NPI assigned

Jan 28, 2021

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611792000000",
    "number": "1003407479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9220 GAMBIER CT",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958291568",
            "telephone_number": "916-599-0878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 OAK PARK BLVD",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234487",
            "telephone_number": "925-935-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "JOSUE",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-28",
        "last_updated": "2021-01-28",
        "certification_date": "2021-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "OTA5370",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samuel D'Autruche, Inc
• Nalinthone Lek Sananikone, PHARMD
• Amber Sanchez
• Carlos Sanchez
• Jacob Flores Sandoval
• Victoria Santelises, D.C.
• Satar & Nangoli, a Professional Dental Corporation (Bay Hill Dental)
• David C Savage, DC
• Joan K Savarese, PH. D.
• Robert Arthur Schaefer, D.C.

• Occupational Therapy Assistant in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Occupational Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.