Nicole Sandoval

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

21147 Issued in CA

Practice address

17120 Omega Street
Esparto, CA 95627

Phone

(530) 787-3417

NPI assigned

Aug 8, 2019

Last updated

Aug 13, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Rural Innovations in Social Economics, Incorporated

  dba RISE, Inc.

  • Community/Behavioral Health Agency
  • Esparto, CA
  • NPI 1558855338
  NPD (past)

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

{
    "created_epoch": "1565222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1659926491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17340 YOLO AVE",
            "city": "ESPARTO",
            "state": "CA",
            "postal_code": "956272265",
            "telephone_number": "530-787-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17120 OMEGA STREET",
            "city": "ESPARTO",
            "state": "CA",
            "postal_code": "95627",
            "telephone_number": "530-787-3417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-08",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "CA",
            "license": "21147",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "160340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Summer Rejmankova, RN
• Diana Lizbeth Rodriguez Rivera, MS
• Leslie Kathryn Rohrman, RN
• Larry Wayne Rolston, PHARM.D.
• Rural Innovations in Social Economics, Incorporated (RISE, Inc.)
• Julia Seebach
• Adrian Gabriel Solis
• Meritsa Esperanza Soria
• Winters Healthcare Foundation, Inc. (Winters Healthcare - Esparto Pharmacy)
• Winters Healthcare Foundation, Inc.

• Professional Counselor in Esparto, CA
• Providers in Esparto, CA by specialty
• Professional Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; 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.