James Sandoval, NONE

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

.5 Miles East of Hwy 371
Thoreau, NM 87323

Phone

(505) 905-0061

Fax

(505) 905-0064

NPI assigned

May 11, 2011

Last updated

May 11, 2011By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1305072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1305072000000",
    "number": "1124310982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1289",
            "city": "THOREAU",
            "state": "NM",
            "postal_code": "873231289",
            "telephone_number": "505-905-0061",
            "fax_number": "505-905-0064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": ".5 MILES EAST OF HWY 371",
            "city": "THOREAU",
            "state": "NM",
            "postal_code": "87323",
            "telephone_number": "505-905-0061",
            "fax_number": "505-905-0064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "JAMES",
        "credential": "NONE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-05-11",
        "last_updated": "2011-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NM",
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NAVAJO NATION",
            "identifier": "8600922335",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cecil Lewis Jr., PASTOR
• Yvonne M Mandagaran, LPPC
• Angela McCormick, HEALTH COACH
• Shawndine Nez
• Presbyterian Medical Services (Western NM Medical Group Thoreau)
• Michelle June Storm, OTR
• Thoreau Ambulance Service
• Thoreau Clinic
• Thoreau Navajo Outreach
• Robinson Tom, COUNSELOR

• Case Manager/Care Coordinator in Thoreau, NM
• Providers in Thoreau, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; 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.