Jennifer Samantha Sandoval, PSY.D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY18127 Issued in CA

Practice address

1011 Camino del Mar
Suite 270
Del Mar, CA 92014-2640

Phone

(626) 590-9723

NPI assigned

Mar 16, 2007

Sex

Female

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": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1467576629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8971 CAMINITO FRESCO",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371602",
            "telephone_number": "626-590-9723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 CAMINO DEL MAR",
            "address_2": "SUITE 270",
            "city": "DEL MAR",
            "state": "CA",
            "postal_code": "920142640",
            "telephone_number": "626-590-9723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "JENNIFER",
        "middle_name": "SAMANTHA",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-16",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY18127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• San Diego Family Services
• San Diego Health Psychology and Wellness
• San Diego Therapy Care
• Renato Sanchez
• Jace Alexander Sandell, ND
• Sara Frampton, PH.D., and Associates, Inc.
• Michael R Sardone, D.C.
• Pamela R Schafer, M.D.
• Matthew Preston Scheffenacker
• Charlotte Denise Scott, DC

• Clinical Psychologist in Del Mar, CA
• Providers in Del Mar, CA by specialty
• Clinical Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; 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.