Active NPI
Roberto Sandoval-Zavala
- Clinical Social Worker
- Napa, CA
National Provider Identifier
1609651967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 118696
- Practice address
- 709 Franklin St
Napa, CA 94559-2920 - Phone
- (707) 255-0966
- NPI assigned
- Aug 25, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 118696 | CA | Primary |
Addresses
Primary practice location
709 Franklin St
Napa, CA 94559-2920
Mailing address
PO Box 3874
Napa, CA 94558-0387
Phone (707) 637-3305
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
| License | State | Type | Specialty |
|---|---|---|---|
| 118696 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719187200000",
"number": "1609651967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3874",
"city": "NAPA",
"state": "CA",
"postal_code": "945580387",
"telephone_number": "707-637-3305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "709 FRANKLIN ST",
"city": "NAPA",
"state": "CA",
"postal_code": "945592920",
"telephone_number": "707-255-0966"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL-ZAVALA",
"first_name": "ROBERTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-08-25",
"last_updated": "2024-06-24",
"certification_date": "2024-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "118696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Napa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.