Individual provider Active NPI

Nancy Sandoval, LCSW

  • Clinical Social Worker
  • Los Angeles, CA
National Provider Identifier
1265949275
Registry record updated Jan 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
132451 Issued in CA
Practice address
808 W 58TH St
Los Angeles, CA 90037-3632
Phone
(323) 541-1411
NPI assigned
Dec 29, 2017
Last updated
Jan 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 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 132451 CA Primary

Addresses

Primary practice location

808 W 58TH St
Los Angeles, CA 90037-3632

Mailing address

808 W 58TH St
Los Angeles, CA 90037-3632
Phone (323) 541-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250901000260 CA Practitioner - Clinical Social Worker 8224539150 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

808 W 58TH St
Los Angeles, CA 90037-3632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
132451CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
St. Johns Community Health CurrentSince Jul 1, 2025 Accepting new patients
St. Johns Community Health CurrentSince Jul 1, 2025 Accepting new patients
St. Johns Community Health Current Accepting new patients
St. Johns Community Health Past Accepting new patients
St. Johns Community Health Past Accepting new patients
South Coast Children's Society, Inc. PastSince Oct 1, 2024 Accepting new patients
St. Johns Community Health Past Accepting new patients
St. Johns Community Health Past Accepting new patients
St. John's Community Health Past Accepting new patients
St. Johns Community Health Past Accepting new patients
St. Johns Community Health Past Accepting new patients
St. Johns Community Health Past Accepting new patients
St. Johns Community Health Past Accepting new patients
St. Johns Community Health Past Accepting new patients

Locations

1111 E Artesia Blvd
Compton, CA 90221
Phone (310) 900-1600

15301 S San Jose Ave
Compton, CA 90221
Phone (310) 537-2273

2115 N Wilmington Ave
Compton, CA 90222
Phone (310) 603-1332

15715 S Atlantic Ave
Fl 2
East Rancho Dominguez, CA 90221
Phone (310) 604-5000

82025 US Highway 111
Unit 101
Indio, CA 92201
Phone 32354116002332

1060 Exposition Blvd
Los Angeles, CA 90007
Phone 32354116002332

1321 E 1st St
Los Angeles, CA 90033

1555 W 110th St
Los Angeles, CA 90047
Phone (323) 757-2771

1741 E 120th St
Fl 2
Los Angeles, CA 90059

1910 Magnolia Ave
Los Angeles, CA 90007
Phone (213) 342-0100

2512 Alta St
Los Angeles, CA 90031
Phone (323) 441-2139

326 W 23rd St
Los Angeles, CA 90007
Phone (323) 366-1100

4085 S Vermont Ave
Los Angeles, CA 90037
Phone (323) 541-1631

4251 Crenshaw Blvd
Los Angeles, CA 90008
Phone (323) 295-5577

444 S Mathews St
Los Angeles, CA 90033
Phone (323) 541-1400

5701 S Hoover St
Los Angeles, CA 90037
Phone (323) 541-1400

6505 8th Ave
Los Angeles, CA 90043
Phone (323) 750-9232

6818 Avalon Blvd
Los Angeles, CA 90003

3628 E Imperial Hwy
Ste 301
Lynwood, CA 90262
Phone (310) 605-0048

1821 S San Jacinto Ave
Ste D
San Jacinto, CA 92583
Phone 32328598302332

1500 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 381-1591

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1514505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769126400000",
    "number": "1265949275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 W 58TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373632",
            "telephone_number": "323-541-1411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 W 58TH ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900373632",
            "telephone_number": "323-541-1411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL, LCSW",
        "first_name": "NANCY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-29",
        "last_updated": "2026-01-23",
        "certification_date": "2026-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "132451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.