Active NPI
Alberto F. Sandoval, DDS
- General Practice Dentistry
- Newark, CA
National Provider Identifier
1154516961
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 56350
- Practice address
- 6170 Thornton Ave Ste B
Newark, CA 94560-3700 - Phone
- (510) 378-5306
- Fax
- (510) 509-7768
- NPI assigned
- Sep 14, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 56350 | CA | Primary |
Addresses
Primary practice location
6170 Thornton Ave Ste B
Newark, CA 94560-3700
Mailing address
6170 Thornton Ave Ste B
Newark, CA 94560-3700
Phone (510) 378-5306
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
| License | State | Type | Specialty |
|---|---|---|---|
| 56350 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1189728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393200000000",
"number": "1154516961",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6170 THORNTON AVE STE B",
"city": "NEWARK",
"state": "CA",
"postal_code": "945603700",
"telephone_number": "510-378-5306",
"fax_number": "510-509-7768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6170 THORNTON AVE STE B",
"city": "NEWARK",
"state": "CA",
"postal_code": "945603700",
"telephone_number": "510-378-5306",
"fax_number": "510-509-7768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "ALBERTO",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-09-14",
"last_updated": "2014-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "56350",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newark, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.