Tomas Benito Sandoval, PHARMD

Primary specialty

PharmacistTaxonomy code 183500000X

License

85337 Issued in CA

Practice address

1325 N Anaheim Blvd
Anaheim, CA 92801-1202

Phone

(213) 502-2006

NPI assigned

Nov 22, 2022

Sex

Male

Sole proprietor

No

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

Credentials

Doctor of Pharmacy

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

{
    "created_epoch": "1669075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669075200000",
    "number": "1023727641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7521 EDINGER AVE UNIT 3517",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926470604",
            "telephone_number": "720-272-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 N ANAHEIM BLVD",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011202",
            "telephone_number": "213-502-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7521 Edinger Ave Unit 3517",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926470604",
            "country_code": "US",
            "telephone_number": "720-272-1032",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "TOMAS",
        "middle_name": "BENITO",
        "credential": "PHARMD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-22",
        "last_updated": "2022-11-22",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "85337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyara Juliediana Sandoval
• Marco Sandoval
• Monique Valerie Sandoval
• Sebastian Sandoval
• Sylvia Eugenia Sandoval
• Wendy Sandoval
• Xochitl Sandoval
• Ila C. Sangodkar, MD
• Drew Elizabeth Sangren
• Angelica Tan Sano

• Pharmacist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2022; 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.