Tomas Sandoval, CPSW

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

1475 Issued in NM

Practice address

610 N Silver St
Silver City, NM 88061-6779

Phone

(575) 956-6131

Fax

(575) 956-4971

NPI assigned

Dec 13, 2022

Last updated

Dec 13, 2022By the provider in NPPES

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

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": "1670889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1427769116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 N RAILROAD ST",
            "city": "BAYARD",
            "state": "NM",
            "postal_code": "880239622",
            "telephone_number": "575-590-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N SILVER ST",
            "city": "SILVER CITY",
            "state": "NM",
            "postal_code": "880616779",
            "telephone_number": "575-956-6131",
            "fax_number": "575-956-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "TOMAS",
        "credential": "CPSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-13",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "NM",
            "license": "1475",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "tomassandoval222@yahoo.com",
            "affiliation": "Y",
            "affiliationName": "Supporting People in Need",
            "address_1": "610 N Silver St",
            "city": "Silver City",
            "state": "NM",
            "country_code": "US",
            "postal_code": "880616779",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Joseph Michael Santarsieri, D.C.
• Mary Lou Sauceda, LBSW
• Isaac David Saucedo, PA C
• Janet Saunders, MN DOH DOULA

• Peer Specialist in Silver City, NM
• Providers in Silver City, NM by specialty
• Peer Specialist in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.