Individual provider Active NPI

Andrea Michell Sandoval, DC

  • Chiropractor
  • San Juan Capistrano, CA
National Provider Identifier
1609400274
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34775 Issued in CA
Practice address
32382 Del Obispo St Ste B5
San Juan Capistrano, CA 92675-4029
Phone
(424) 224-9569
Fax
(949) 272-8313
NPI assigned
Feb 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34775 CA Primary

Addresses

Primary practice location

32382 Del Obispo St Ste B5
San Juan Capistrano, CA 92675-4029

Mailing address

429 E 169TH St
Carson, CA 90746-1102
Phone (310) 330-6955

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resolve Chiropractic a Naasz-Sandoval Corporation Chiropractor CurrentSince Apr 10, 2026 Accepting new patients

Locations

32382 Del Obispo St
Ste B5
San Juan Capistrano, CA 92675
Phone (949) 500-0685

Organizations & group practices 1

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": "1582416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1609400274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "429 E 169TH ST",
            "city": "CARSON",
            "state": "CA",
            "postal_code": "907461102",
            "telephone_number": "310-330-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32382 DEL OBISPO ST STE B5",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754029",
            "telephone_number": "424-224-9569",
            "fax_number": "949-272-8313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ANDREA",
        "middle_name": "MICHELL",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-23",
        "last_updated": "2022-04-06",
        "certification_date": "2021-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2022; 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.