Individual provider Active NPI

Esteban Sandoval, DC

  • Chiropractor
  • Long Beach, CA
National Provider Identifier
1659866259
Registry record updated Jun 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34256 Issued in CA
Practice address
4195 N Viking Way Ste F
Long Beach, CA 90808-1470
Phone
(562) 420-2112
NPI assigned
Jun 26, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X 34256 CA Primary

Addresses

Primary practice location

4195 N Viking Way Ste F
Long Beach, CA 90808-1470

Mailing address

4195 N Viking Way Ste F
Long Beach, CA 90808-1470
Phone (562) 420-2112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210412001345 CA Practitioner - Chiropractic 2466860457 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Joint and Spine Medical Center IncGroup PAC ID 2163765298, 11 clinicians

Practice addresses (Care Compare)

2029 W Orangewood Ave
Suite a
Orange, CA 92868-1951
Phone (714) 921-1546

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34256CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Joint and Spine Medical Center Inc. Multi-Specialty CurrentSince Jan 2, 2021 Accepting new patients
Superior Joint and Spine Medical Center Inc. Multi-Specialty CurrentSince Jan 2, 2021 Accepting new patients
Sohma Integrative Health Center Hoover Chiropractic Inc Chiropractor PastSince May 13, 2020 Accepting new patients
Woo-Ming Medical Group, PC Multi-Specialty PastSince Jan 6, 2024 Accepting new patients
April Lopez Chiropractic. a Professional Corporation Chiropractor PastSince Jan 2, 2021 Accepting new patients

Locations

2029 W Orangewood Ave
Ste A
Orange, CA 92868
Phone (714) 385-9088

14120 Beach Blvd
Ste 225
Westminster, CA 92683
Phone (866) 303-9355

5455 Garden Grove Blvd
Ste 100
Westminster, CA 92683
Phone (414) 988-4203

Organizations & group practices 5

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": "1529971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529971200000",
    "number": "1659866259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4195 N VIKING WAY STE F",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081470",
            "telephone_number": "562-420-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4195 N VIKING WAY STE F",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908081470",
            "telephone_number": "562-420-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ESTEBAN",
        "name_prefix": "Dr.",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-26",
        "last_updated": "2018-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.