Individual provider Active NPI

Christopher Alexander Sandoval, LMFT

  • Marriage & Family Therapist
  • Chino, CA
National Provider Identifier
1588316137
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
152995 Issued in CA
Practice address
11800 Central Ave Ste 225
Chino, CA 91710-7201
Phone
(909) 591-5085
NPI assigned
Jan 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X AMFT139087 CA
Rehabilitation Practitioner 225400000X
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 152995 CA Primary

Addresses

Primary practice location

11800 Central Ave Ste 225
Chino, CA 91710-7201

Mailing address

11800 Central Ave Ste 225
Chino, CA 91710-7201
Phone (909) 591-5085

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.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
AMFT139087CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Serene Pathways Family Counseling Inc Marriage & Family Therapist CurrentSince Feb 4, 2025 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince May 9, 2025 Accepting new patients
Optum Behavioral Care of California, P.C. CurrentSince May 9, 2025 Accepting new patients
Personalized Treatment & Intervention Services CurrentSince Feb 4, 2025 Accepting new patients

Locations

11800 Central Ave
Ste 225
Chino, CA 91710
Phone (909) 576-3889

8300 Utica Ave
Ste 245
Rancho Cucamonga, CA 91730
Phone (909) 989-4055

201 Spear St
Ste 1100
San Francisco, CA 94105
Phone (415) 651-4333

Organizations & group practices 4

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": "1643068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740355200000",
    "number": "1588316137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11800 CENTRAL AVE STE 225",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107201",
            "telephone_number": "909-591-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 CENTRAL AVE STE 225",
            "city": "CHINO",
            "state": "CA",
            "postal_code": "917107201",
            "telephone_number": "909-591-5085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "CHRISTOPHER",
        "middle_name": "ALEXANDER",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-25",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "AMFT139087",
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "152995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chino, CA

Sources for this page

Verify at the official NPI Registry.