Active NPI
Regina Sandoval, RN, PHN
- Maternal Newborn Registered Nurse
- San Diego, CA
National Provider Identifier
1689703654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Maternal Newborn Registered Nurse
- License
- 622957
- Practice address
- 2440 Grand Ave
San Diego, CA 92109-4858 - Phone
- (858) 490-4424
- Fax
- (858) 490-4479
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 622957 | CA | |
| Maternal Newborn Registered Nurse | 163WM0102X | 622957 | CA | Primary |
Addresses
Primary practice location
2440 Grand Ave
San Diego, CA 92109-4858
Mailing address
2440 Grand Ave
San Diego, CA 92109-4858
Phone (858) 490-4424
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
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 622957 | CA | MD | Maternal Newborn Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1689703654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2440 GRAND AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921094858",
"telephone_number": "858-490-4424",
"fax_number": "858-490-4479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2440 GRAND AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921094858",
"telephone_number": "858-490-4424",
"fax_number": "858-490-4479"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "REGINA",
"credential": "RN, PHN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "622957",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "CA",
"license": "622957",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.