Active NPI
Christina Sandoval
- Pedorthist
- El Paso, TX
National Provider Identifier
1851798094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pedorthist
- License
- CPED3465
- Practice address
- 1302 N Stanton St
El Paso, TX 79902-4122 - Phone
- (915) 532-4444
- Fax
- (915) 534-7626
- NPI assigned
- Dec 3, 2014
- Last updated
- Dec 3, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pedorthist | 224L00000X | CPED3465 | TX | Primary |
Addresses
Primary practice location
1302 N Stanton St
El Paso, TX 79902-4122
Mailing address
1302 N Stanton St
El Paso, TX 79902-4122
Phone (915) 532-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 086614713 | Medicaid | TX |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPED3465 | TX | MD | Pedorthist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1417564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1417564800000",
"number": "1851798094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 N STANTON ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024122",
"telephone_number": "915-532-4444",
"fax_number": "915-534-7626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 N STANTON ST",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024122",
"telephone_number": "915-532-4444",
"fax_number": "915-534-7626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANDOVAL",
"first_name": "CHRISTINA",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-03",
"last_updated": "2014-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "224L00000X",
"taxonomy_group": "",
"desc": "Pedorthist",
"state": "TX",
"license": "CPED3465",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "086614713",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.