Active NPI
Viridiana Sandoval, PPS
- School Psychologist
- Huntington Park, CA
National Provider Identifier
1013490630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- Practice address
- 2665 Clarendon Ave
Huntington Park, CA 90255-4138 - Phone
- (323) 800-2739
- NPI assigned
- Sep 10, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | Primary |
Addresses
Primary practice location
2665 Clarendon Ave
Huntington Park, CA 90255-4138
Mailing address
9117 Priscilla St
Downey, CA 90242-4628
Other practice location 1
6005 Stafford Ave
Huntington Park, CA 90255-3006
Phone (323) 800-2738
Other practice location 2
2410 Broadway
Huntington Park, CA 90255-6342
Phone (323) 923-0383
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1013490630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9117 PRISCILLA ST",
"city": "DOWNEY",
"state": "CA",
"postal_code": "902424628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2665 CLARENDON AVE",
"city": "HUNTINGTON PARK",
"state": "CA",
"postal_code": "902554138",
"telephone_number": "323-800-2739"
}
],
"practiceLocations": [
{
"address_1": "6005 Stafford Ave",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902553006",
"country_code": "US",
"telephone_number": "323-800-2738",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2410 Broadway",
"address_purpose": "LOCATION",
"city": "Huntington Park",
"state": "CA",
"postal_code": "902556342",
"country_code": "US",
"telephone_number": "323-923-0383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL",
"first_name": "VIRIDIANA",
"credential": "PPS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-09-10",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.