Jasmina Sandoval-Mancha

Primary specialty

Rehabilitation PractitionerTaxonomy code 225400000X

Practice address

10540 Sherman Grove Ave
Sunland, CA 91040-1913

Phone

(818) 352-5941

NPI assigned

Sep 30, 2024

Reactivated

Oct 7, 2024

Last updated

Apr 23, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1727654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1144048000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5661 1/2 FAIR AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916011973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10540 SHERMAN GROVE AVE",
            "city": "SUNLAND",
            "state": "CA",
            "postal_code": "910401913",
            "telephone_number": "818-352-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL-MANCHA",
        "first_name": "JASMINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-30",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "deactivation_date": "2024-09-30",
        "reactivation_date": "2024-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rehabilitation Practitioner in Sunland, CA
• Providers in Sunland, CA by specialty
• Rehabilitation Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.