Individual provider Active NPI

Joshua Sandler

  • Clinical Social Worker
  • Van Nuys, CA
National Provider Identifier
1578010328
Registry record updated Oct 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
97172 Issued in CA
Practice address
14660 Oxnard St
Van Nuys, CA 91411
Phone
(818) 901-4836
NPI assigned
Sep 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Clinical Social Worker 1041C0700X 77186 CA
Clinical Social Worker 1041C0700X 97172 CA Primary

Addresses

Primary practice location

14660 Oxnard St
Van Nuys, CA 91411

Mailing address

2700 Cahuenga Blvd E Apt 3209
Los Angeles, CA 90068-2149
Phone (860) 966-4622

Other practice location 1

160 S Gramercy Pl Apt 410
Los Angeles, CA 90004-4925
Phone (860) 966-4622

Other practice location 2

18646 Oxnard St
Tarzana, CA 91356
Phone (818) 966-1051 ext. 1246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
77186CAMDClinical Social Worker
97172CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1473292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602806400000",
    "number": "1578010328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 CAHUENGA BLVD E APT 3209",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682149",
            "telephone_number": "860-966-4622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14660 OXNARD ST",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "91411",
            "telephone_number": "818-901-4836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 S Gramercy Pl Apt 410",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900044925",
            "country_code": "US",
            "telephone_number": "860-966-4622",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18646 Oxnard St",
            "address_purpose": "LOCATION",
            "city": "Tarzana",
            "state": "CA",
            "postal_code": "91356",
            "country_code": "US",
            "telephone_number": "818-966-1051 x1246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDLER",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-08",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "77186",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "97172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2020; 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.