Tiffany Sandoval, CMT

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

46521 Issued in CA

Practice address

30220 Rancho Viejo Rd
Suite #E
San Juan Capistrano, CA 92675-1568

Phone

(949) 838-4436

Fax

(800) 269-6304

NPI assigned

Dec 8, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1417996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669420800000",
    "number": "1285032276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32234 PASEO ADELANTO STE C",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753622",
            "telephone_number": "949-838-4436",
            "fax_number": "800-269-6304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30220 RANCHO VIEJO RD",
            "address_2": "SUITE #E",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751568",
            "telephone_number": "949-838-4436",
            "fax_number": "800-269-6304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "TIFFANY",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-08",
        "last_updated": "2022-11-26",
        "certification_date": "2022-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "46521",
            "primary": false
        },
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CA",
            "license": "46521",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "46521",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "CA",
            "license": "46521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tiffany@musclehealers.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "32234 Paseo Adelanto Ste C",
            "city": "San Juan Capistrano",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926753622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• San Juan Pharmacy
• Chantal Angela Sanchez
• Guadalupe Cristal Sanchez
• Michele Denise Sandberg
• Andrea Michell Sandoval, DC
• Ruben Sandu, D.D.S.
• Deborah Lee Santiesteban, PT
• Sarah Zirakzadeh DDS Inc
• Donna Lynn Sarjeant, N.P.
• Erin Morikawa Wong Sause, NP

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.