Theresa Sandoval

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFC 51272 Issued in CA

Practice address

27475 Ynez Rd # 730
Temecula, CA 92591-4612

Phone

(951) 551-1580

Fax

(909) 609-1829

NPI assigned

Mar 27, 2008

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

Other identifiers 1

Other names 1

• Theresa Sandoval Former name

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 and National Provider Directory roles.

• Novell & Novell Counseling

  • Marriage & Family Therapist
  • Temecula, CA
  • NPI 1881743243
  NPD (past)
• Novell & Novell Counseling Services, Inc.

  • Marriage & Family Therapist
  • Perris, CA
  • NPI 1720463037
  NPD (past)

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

{
    "created_epoch": "1206576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1587945600000",
    "number": "1922270289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27475 YNEZ RD # 730",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914612",
            "telephone_number": "951-551-1580",
            "fax_number": "909-906-1829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27475 YNEZ RD # 730",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925914612",
            "telephone_number": "951-551-1580",
            "fax_number": "909-609-1829"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29748 Rancho California Rd",
            "address_purpose": "LOCATION",
            "city": "Temecula",
            "state": "CA",
            "postal_code": "925915286",
            "country_code": "US",
            "telephone_number": "951-694-0695",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 51272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1985VI0R",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "SANDOVAL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Givona Andelyn Sandiford, PH.D., CCC/SLP
• Jovana A Sandoval
• Lydia R Sandoval
• Mason Sandoval
• Rebecca Angelina Sandoval, DPT
• Kalin Vernice Sandow
• Sandra K. Cox, M.D., Inc.
• Andrew Sanfilippo, MD
• Vanessa Sanlucar
• Stacie I. Santana

• Marriage & Family Therapist in Temecula, CA
• Providers in Temecula, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.