Sara B Sandoval

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

LSAA - 00099901 Issued in NM

Practice address

872 S Camino del Pueblo
Bernalillo, NM 87004-5927

Phone

(505) 867-2383

Fax

(505) 867-7293

NPI assigned

Aug 29, 2007

Sex

Female

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• La Buena Vida, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bernalillo, NM
  • NPI 1386676856
  NPD (past)
• Valle del Sol of New Mexico, LLC

  • Community/Behavioral Health Agency
  • Bernalillo, NM
  • NPI 1649610171
  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209686400000",
    "number": "1851585152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7120 MOJAVE ST NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871202929",
            "telephone_number": "505-867-2383",
            "fax_number": "505-867-7293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "872 S CAMINO DEL PUEBLO",
            "city": "BERNALILLO",
            "state": "NM",
            "postal_code": "870045927",
            "telephone_number": "505-867-2383",
            "fax_number": "505-867-7293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "SARA",
        "middle_name": "B",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2008-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NM",
            "license": "LSAA - 00099901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Brooke Salazar, RDH
• Phillip Sanchez, DDS
• Sandia Health Center
• Sandia Health Clinic Pharmacy
• Sandia PHS Health Center
• Santa Ana Health Center
• Santa Ana Health Clinic Pharmacy
• Alexandra Lee Schema, MOTR/L
• Bernadette C Silva, LMSW
• Max Ralph Silva

• Case Manager/Care Coordinator in Bernalillo, NM
• Providers in Bernalillo, NM by specialty
• Case Manager/Care Coordinator in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2008; 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.