Active NPI
Christopher Alexander Sandoval, LMFT
- Marriage & Family Therapist
- Chino, CA
National Provider Identifier
1588316137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 152995
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AMFT139087 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serene Pathways Family Counseling Inc | Marriage & Family Therapist | Current | Accepting new patients |
| Optum Behavioral Care of California, P.C. | Current | Accepting new patients | |
| Optum Behavioral Care of California, P.C. | Current | Accepting new patients | |
| Personalized Treatment & Intervention Services | Current | 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.
-
- Clinical Psychologist
- Rancho Cucamonga, CA
- NPI 1417718297
-
- Clinical Social Worker
- Costa Mesa, CA
- NPI 1447137740
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Inglewood, CA
- NPI 1861026445
-
dba Stuart A. Kaplowitz, MFT
- Marriage & Family Therapist
- Chino, CA
- NPI 1174913321
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.