Individual provider Active NPI

Hailey Nicole Sandoval, HIS

  • Hearing Instrument Specialist
  • Murrieta, CA
National Provider Identifier
1518796168
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hearing Instrument SpecialistTaxonomy code 237700000X
License
HA9023 Issued in CA
Practice address
33050 Antelope Rd Ste 205
Murrieta, CA 92563-2491
Phone
(951) 925-8100
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hearing Instrument SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 237700000X HA9023 CA Primary

Addresses

Primary practice location

33050 Antelope Rd Ste 205
Murrieta, CA 92563-2491

Mailing address

33050 Antelope Rd Ste 205
Murrieta, CA 92563-2491
Phone (951) 925-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2023
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2375 Waterview Dr
Northbrook, IL 60062-6145

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HA9023CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ritvik Mehta, MD Apc Single Specialty PastSince Sep 11, 2019 Accepting new patients
Carlos F Jimenez, MD Single Specialty Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1518796168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33050 ANTELOPE RD STE 205",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632491",
            "telephone_number": "951-925-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33050 ANTELOPE RD STE 205",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925632491",
            "telephone_number": "951-925-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "HAILEY",
        "middle_name": "NICOLE",
        "credential": "HIS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "237700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA9023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

Verify at the official NPI Registry.