Individual provider Active NPI

Maria Sandoval, MSW, PPSC

  • School Social Worker
  • Bakersfield, CA
National Provider Identifier
1134529787
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
ASW91541 Issued in CA
Practice address
4200 Ashe Rd
Bakersfield, CA 93313-2029
Phone
(661) 831-8331
NPI assigned
Sep 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social Worker 1041S0200X ASW91541 CA Primary

Addresses

Primary practice location

4200 Ashe Rd
Bakersfield, CA 93313-2029

Mailing address

4200 Ashe Rd
Bakersfield, CA 93313-2029
Phone (661) 831-8331

Other practice location 1

828 High St
Delano, CA 93215-2960
Phone (661) 725-2788

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

State licenses

LicenseStateTypeSpecialty
ASW91541CAMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Panama-Buena Vista Union SD PastSince Aug 2, 2020 Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1409616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1134529787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 ASHE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132029",
            "telephone_number": "661-831-8331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 ASHE RD",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933132029",
            "telephone_number": "661-831-8331"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "828 High St",
            "address_purpose": "LOCATION",
            "city": "Delano",
            "state": "CA",
            "postal_code": "932152960",
            "country_code": "US",
            "telephone_number": "661-725-2788",
            "fax_number": "661-725-1957",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "MARIA",
        "credential": "MSW, PPSC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-02",
        "last_updated": "2021-08-19",
        "certification_date": "2020-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "ASW91541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.