Individual provider Active NPI

Ashley Sandoval, M.D.

  • Allergy & Immunology Physician
  • Long Beach, CA
National Provider Identifier
1720408958
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
A139931 Issued in CA
Practice address
3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145
Phone
(562) 496-4749
NPI assigned
Apr 28, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A139931 CA
Allergy & Immunology Physician 207K00000X A139931 CA Primary

Addresses

Primary practice location

3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145

Mailing address

3816 Woodruff Ave Ste 209
Long Beach, CA 90808-2145
Phone (562) 496-4749

Other practice location 1

18 Endeavor Ste 208
Irvine, CA 92618-3181
Phone (949) 364-4361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171018003330 CA Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 1052619103 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
New York Medical College, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modena Allergy and Asthma Inc.Group PAC ID 9436545274, 25 clinicians

Practice addresses (Care Compare)

3816 Woodruff Ave
Suite 209
Long Beach, CA 90808-2145
Phone (562) 496-4749

Merit-based Incentive Payment System (MIPS)

Final score
38.02 of 100Reported as group
Improvement activities
0
Cost
76.04

Merit-based Incentive Payment System (MIPS)

Final score
63.95 of 100Reported as group
Quality
24.03
Promoting interoperability
100
Improvement activities
0
Cost
76.93

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A139931CAMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modena Allergy & Asthma Inc. Allergy & Immunology CurrentSince Dec 1, 2024 Accepting new patients
Confermed of California PC CurrentSince Nov 13, 2024 Accepting new patients
Head and Neck Associates of Orange County an Incorprate CurrentSince Mar 1, 2024 Accepting new patients
Confermed PC Pediatrics Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

101 Academy
Ste 100
Irvine, CA 92617
Phone (860) 323-0172

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

9850 Genesee Ave
Ste 710
La Jolla, CA 92037
Phone (858) 260-2977

3816 Woodruff Ave
Ste 209
Long Beach, CA 90808
Phone (562) 496-4749

26726 Crown Valley Pkwy
Ste 200
Mission Viejo, CA 92691
Phone (949) 264-4361

23600 Telo Ave
Ste 130
Torrance, CA 90505
Phone (310) 833-1334

11 Silver St
Unit 856
Middletown, CT 06457

Interoperability endpoints

  • Direct secure messaging: ashley.sandoval.p19@direct.monarchhealthcare.nextgenshare.com

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": "1398643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1720408958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145",
            "telephone_number": "562-496-4749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3816 WOODRUFF AVE STE 209",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082145",
            "telephone_number": "562-496-4749"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18 Endeavor Ste 208",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183181",
            "country_code": "US",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-4495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "ASHLEY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-04-28",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A139931",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CA",
            "license": "A139931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.