Active NPI
Freddy Aristeo Sandoval
- Student in an Organized Health Care Education/Training Program
- Ceres, CA
National Provider Identifier
1245629443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 1904 Richland Ave
Ceres, CA 95307-4562 - Phone
- (209) 525-6201
- NPI assigned
- Jan 12, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | |||
| School Counselor | 101YS0200X | CA | ||
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | 116855 | CA | |
| School Social Worker | 1041S0200X | CA | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
1904 Richland Ave
Ceres, CA 95307-4562
Mailing address
PO Box 1238
Planada, CA 95365-1238
Other practice location 1
2363 Gabriel Dr
Merced, CA 95340-5467
Phone (209) 261-3049
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 |
|---|---|---|---|
| 116855 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1245629443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1238",
"city": "PLANADA",
"state": "CA",
"postal_code": "953651238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1904 RICHLAND AVE",
"city": "CERES",
"state": "CA",
"postal_code": "953074562",
"telephone_number": "209-525-6201"
}
],
"practiceLocations": [
{
"address_1": "2363 Gabriel Dr",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953405467",
"country_code": "US",
"telephone_number": "209-261-3049",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL",
"first_name": "FREDDY",
"middle_name": "ARISTEO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-12",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": false
},
{
"code": "101YS0200X",
"taxonomy_group": "",
"desc": "Counselor, School",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "116855",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ceres, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.