Individual provider Active NPI

David Sandoval, M.S.

  • Behavior Technician
  • San Dimas, CA
National Provider Identifier
1588152011
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
Practice address
910 W Gladstone Street
Suite B
San Dimas, CA 91773-2957
Phone
(626) 634-1565
Fax
(626) 226-4906
NPI assigned
Apr 30, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior TechnicianGroup: 193200000X MULTI-SPECIALTY GROUP 106S00000X Primary

Addresses

Primary practice location

910 W Gladstone Street
Suite B
San Dimas, CA 91773-2957

Mailing address

910 W Gladstone Street
Suite B
San Dimas, CA 91773-2957
Phone (626) 634-1565

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Learning Services LLC CurrentSince Mar 20, 2025 Accepting new patients
Positive Behavior Steps Corp Multi-Specialty CurrentSince Mar 20, 2025 Accepting new patients

Locations

910 W Gladstone St
Ste B
San Dimas, CA 91773
Phone (626) 634-1565

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": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741824000000",
    "number": "1588152011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 W GLADSTONE STREET",
            "address_2": "SUITE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732957",
            "telephone_number": "626-634-1565",
            "fax_number": "626-226-4906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "910 W GLADSTONE STREET",
            "address_2": "SUITE B",
            "city": "SAN DIMAS",
            "state": "CA",
            "postal_code": "917732957",
            "telephone_number": "626-634-1565",
            "fax_number": "626-226-4906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "DAVID",
        "credential": "M.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2025-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Dimas, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; 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.