Phillip A Sandoval, MA, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

80303 Issued in CA

Practice address

5152 Oak Shade Way
Fair Oaks, CA 95628-4167

Phone

(916) 642-6419

NPI assigned

Jul 6, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1341532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468713600000",
    "number": "1114282035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5152 OAK SHADE WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284167",
            "telephone_number": "916-642-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5152 OAK SHADE WAY",
            "city": "FAIR OAKS",
            "state": "CA",
            "postal_code": "956284167",
            "telephone_number": "916-642-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "PHILLIP",
        "middle_name": "A",
        "credential": "MA, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-07-06",
        "last_updated": "2016-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF63514",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "80303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Sanchez, M.D.
• Michelle Sanderson, CMT, CLT
• Harkesh Singh Sandhu, M.D.
• Rajdeep K Sandhu, LVN
• Ranjot S Sandhu, O.D.
• Nicolina Marie Santoro, MA, LMFT
• Bibi Saqi
• Corrie Sawatzky, CMT
• Carl Sayles, PSY.D.
• Ann Karen Schafer, PHD

• Marriage & Family Therapist in Fair Oaks, CA
• Providers in Fair Oaks, 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 Jul 17, 2016; 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.