Individual provider Active NPI

Khalil Sandoval, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1922628478
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95030636 Issued in CA
Practice address
9890 County Farm Rd Ste 2
Riverside, CA 92503-3678
Phone
(951) 509-2499
NPI assigned
Apr 24, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1001935 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95030636 CA Primary

Addresses

Primary practice location

9890 County Farm Rd Ste 2
Riverside, CA 92503-3678

Mailing address

2500 N Palm Canyon Dr Ste A4
Palm Springs, CA 92262-1866

Other practice location 1

2500 N Palm Canyon Dr Ste A4
Palm Springs, CA 92262-1866
Phone (760) 424-5602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20241106003834 CA Practitioner - Nurse Practitioner 4284168725 Reassigns benefits to 4 organizations
I20241230001864 TX Practitioner - Nurse Practitioner 4284168725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Psychiatry of Texas PLLCGroup PAC ID 0345573598, 418 clinicians

Practice addresses (Care Compare)

7877 Willow Chase Blvd
Houston, TX 77070-5934
Phone 8328694818235

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95030636CAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Memory Check Psychological Services, a Professional Corporation Psychiatric/Mental Health CurrentSince Nov 1, 2024 Accepting new patients
Psychplus Medical Associates of California PC Nurse Practitioner CurrentSince Apr 18, 2025 Accepting new patients
Orna Gil MD Inc Current Accepting new patients
Psychplus Associates of California PC CurrentSince Apr 18, 2025 Accepting new patients
Psychplus Medical Associates, PLLC Nurse Practitioner CurrentSince Feb 11, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Feb 11, 2025 Accepting new patients
Shasta Regional Medical Group Inc CurrentSince Sep 18, 2024 Accepting new patients
Shasta Regional Medical Group, Inc CurrentSince Sep 18, 2024 Accepting new patients
Recovery Innovations, Inc Past Accepting new patients
Insynch Health, PLLC Past Accepting new patients

Locations

3095 Telegraph Ave
Berkeley, CA 94705
Phone (510) 495-0772

5838 Edison Pl
Ste 100
Carlsbad, CA 92008
Phone (760) 300-3664

1902 Wright Pl
Fl 2
Carlsbad, CA 92008
Phone (929) 468-2465

2915 Red Hill Ave
Ste A210A
Costa Mesa, CA 92626

2677 Zoe Ave
Ste 120
Huntington Pk, CA 90255
Phone (323) 589-1902

1801 W Olympic Blvd
#1640
Pasadena, CA 91199

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1355 East St
Ste 200
Redding, CA 96001
Phone (530) 229-2940

1610 R St
Ste 300
Sacramento, CA 95811
Phone (510) 715-1242

348 Iris Dr
Salinas, CA 93906
Phone (831) 449-5496

4858 Mercury St
San Diego, CA 92111
Phone (561) 283-6014

7447 Sepulveda Blvd
Van Nuys, CA 91405
Phone (818) 787-3400

12180 N Mopac Expy
Ste B
Austin, TX 78758
Phone (512) 836-4999

12221 Merit Dr
Ste 450
Dallas, TX 75251
Phone (214) 217-1900

2110 W Trenton Rd
Ste A
Edinburg, TX 78539
Phone (956) 289-8200

3100 Alliance Town Ctr
Fort Worth, TX 76177
Phone (409) 938-5166

902 Frostwood Dr
Ste 201
Houston, TX 77024
Phone (713) 932-7872

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

23838 Highway 59 N
Kingwood, TX 77339
Phone (832) 869-4814

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ABEFCA

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1587686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1922628478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 N PALM CANYON DR STE A4",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922621866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9890 COUNTY FARM RD STE 2",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033678",
            "telephone_number": "951-509-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 N Palm Canyon Dr Ste A4",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922621866",
            "country_code": "US",
            "telephone_number": "760-424-5602",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "KHALIL",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-04-24",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1001935",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95030636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.