Individual provider Active NPI

Damian Saul Sandoval, LCSW

  • Clinical Social Worker
  • Sacramento, CA
National Provider Identifier
1255706263
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW120639 Issued in CA
Practice address
7471 Red Willow St
Sacramento, CA 95822-5127
Phone
(916) 520-3041
NPI assigned
Dec 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LCSW120639 CA Primary

Addresses

Primary practice location

7471 Red Willow St
Sacramento, CA 95822-5127

Mailing address

8300 Delta Shores Cir S #235
Ste 120
Sacramento, CA 95832-9114
Phone (916) 520-3041

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • 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
I20240610001487 CA Practitioner - Clinical Social Worker 5193267862 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4800 N Scottsdale Rd
Suite 2500
Scottsdale, AZ 85251-7630

490 Post St
San Francisco, CA 94102-1301

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW120639CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Coast Psychiatric Associates Inc CurrentSince Apr 29, 2024 Accepting new patients
Bonsai Counseling & Psychotherapy, a Licensed Clinical Social Worker PC Clinical CurrentSince May 28, 2023 Accepting new patients
La Familia Counseling Center, Inc. Past Accepting new patients
La Familia Counseling Center, Inc Past Accepting new patients

Locations

1480 64th St
Ste 150
Emeryville, CA 94608
Phone (415) 296-5292

2365 Iron Point Rd
Ste 210
Folsom, CA 95630
Phone (925) 360-5264

100 Howe Ave
Ste 170N
Sacramento, CA 95825
Phone (415) 296-5100

8300 Delta Shores Cir S
Ste 120
Sacramento, CA 95832

490 Post St
Ste 1043
San Francisco, CA 94102
Phone (415) 409-0944

Organizations & group practices 4

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": "1449014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1255706263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8300 DELTA SHORES CIR S #235",
            "address_2": "STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958329114",
            "telephone_number": "916-520-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7471 RED WILLOW ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958225127",
            "telephone_number": "916-520-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "DAMIAN",
        "middle_name": "SAUL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-12-02",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW120639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.