Michael Robert Sandoval, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

296945 Issued in CA

Practice address

1619 E Edinger Ave
Santa Ana, CA 92705-5001

Phone

(714) 542-8904

NPI assigned

Sep 27, 2019

Sex

Male

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

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

{
    "created_epoch": "1569542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569542400000",
    "number": "1891346110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "934 S GUNTHER ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927042311",
            "telephone_number": "714-454-9198"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1619 E EDINGER AVE",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927055001",
            "telephone_number": "714-542-8904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-09-27",
        "last_updated": "2019-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "296945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luis Manuel Sandoval, MD
• Marc James Sandoval, PA-C
• Maria Luisa Sandoval
• Marissa Sandoval
• Martha Elizabeth Sandoval
• Nichole Cristine Sandoval
• Ruby Lepe Sandoval
• Sanford L. Ratner DDS and Monty C.Wilson DDS Inc.
• Ellehcir Sangalang
• Sangamitra Kothapa M D Inc

• Physical Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2019; 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.