Nicolas Sandoval Jr., MA

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Practice address

45 Neilson St
Watsonville, CA 95076-2468

Phone

(831) 728-8250

NPI assigned

Dec 9, 2018

Last updated

Dec 9, 2018By the provider in NPPES

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Marriage and Family Therapist

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Salud Para la GenteGroup PAC ID 8729984729, 41 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Salud Para la Gente

  • Federally Qualified Health Center (FQHC)
  • Watsonville, CA
  • NPI 1730169756
  Medicare reassignment Care Compare group NPD
• Salud Para la Gente

  dba Seaside Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Seaside, CA
  • NPI 1700142544
  NPD

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

{
    "created_epoch": "1544313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544313600000",
    "number": "1033680632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 AVIATION WAY STE 200",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762059",
            "telephone_number": "831-728-8250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 NEILSON ST",
            "city": "WATSONVILLE",
            "state": "CA",
            "postal_code": "950762468",
            "telephone_number": "831-728-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "NICOLAS",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-09",
        "last_updated": "2018-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allison Roy Sandlin
• Martha Sandoval-Bernal
• Gabriella Sandoval
• Gerardo Sandoval
• Jessica Sandoval
• Rosemarie Sandoval, RN, FNP
• Eric Drake Sanford, M.D.
• Albert Espejo Sanson, PTA
• Santa Cruz Community Counseling Center
• Santa Cruz Community Counseling Center

• Marriage & Family Therapist in Watsonville, CA
• Providers in Watsonville, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.