Anthony Gabriel Sandoval

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

ASW89940 Issued in CA

Practice address

11277 Garden Grove Blvd Ste 100
Garden Grove, CA 92843-1300

Phone

(714) 620-8131

NPI assigned

Mar 25, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• College Community Services

  • Community/Behavioral Health Agency
  • Tehachapi, CA
  • NPI 1831870500
  NPD (past)
• College Community Services

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1841335692
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1585094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1629605100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11277 GARDEN GROVE BLVD STE 100",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431300",
            "telephone_number": "714-620-8131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11277 GARDEN GROVE BLVD STE 100",
            "city": "GARDEN GROVE",
            "state": "CA",
            "postal_code": "928431300",
            "telephone_number": "714-620-8131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ANTHONY",
        "middle_name": "GABRIEL",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-25",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "ASW89940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karla Sanchis
• Charles Sanders
• Madison Sanders
• Gurdarshan Sandhu
• Elyse Aiko Sandoval -Konishi
• Laura Sandoval
• Walter Sandoval
• Sang H. Park Dental Corp
• Sang Kwak Physical Therapy, Inc.
• Sang Lee & Deuk Oh DDS Inc

• Clinical Social Worker in Garden Grove, CA
• Providers in Garden Grove, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.