Individual provider Active NPI

Gisela Vazquez Sandoval, M.A

  • Marriage & Family Therapist
  • Red Bluff, CA
National Provider Identifier
1154739373
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
138558 Issued in CA
Practice address
818 Walnut St
Red Bluff, CA 96080
Phone
(530) 527-5631
Fax
(530) 527-0232
NPI assigned
Jul 31, 2014
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 138558 CA Primary

Addresses

Primary practice location

818 Walnut St
Red Bluff, CA 96080

Mailing address

PO Box 9154
Red Bluff, CA 96080-6001
Phone (530) 209-9271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250808001004 TX Practitioner - Marriage and Family Therapist 5698273720 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Rolling Hills Clinic Current Accepting new patients
Rolling Hills Clinic CurrentSince Jul 15, 2025 Accepting new patients

Locations

706 Peach St
Corning, CA 96021
Phone (530) 690-2827

740 Solano St
Corning, CA 96021
Phone (530) 690-2827

2540 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 528-8899

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1154739373",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9154",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "960806001",
            "telephone_number": "530-209-9271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "818 WALNUT ST",
            "city": "RED BLUFF",
            "state": "CA",
            "postal_code": "96080",
            "telephone_number": "530-527-5631",
            "fax_number": "530-527-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "GISELA",
        "middle_name": "VAZQUEZ",
        "credential": "M.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "138558",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Red Bluff, CA

Sources for this page

Verify at the official NPI Registry.