Evan Sandoval

Primary specialty

Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0808X

License

847359 Issued in CA

Practice address

12062 W Edinger Ave SPC 57
Santa Ana, CA 92704-3820

Phone

(714) 251-9306

NPI assigned

Aug 10, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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": "1407628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407628800000",
    "number": "1336558709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12062 W EDINGER AVE SPC 57",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043820",
            "telephone_number": "714-251-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12062 W EDINGER AVE SPC 57",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927043820",
            "telephone_number": "714-251-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "EVAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-10",
        "last_updated": "2014-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "CA",
            "license": "847359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christina Sando, DPT
• Angelica Sandoval
• Arianna Sandoval
• Astrid Beatriz Sandoval
• Edith Sandoval
• Jennifer Sandoval
• Jessica Marie Sandoval, BEHAVIOR TECHNICIAN
• Josephine Ida Sandoval, B.A.
• Katherine Sandoval
• Kimberly Dalila Sandoval

• Psychiatric/Mental Health Registered Nurse in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2014; 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.