Sutiweyu Sandoval

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

MPSS-FUMTAR Issued in CA

Practice address

8623 S Vermont Ave Apt 6
Los Angeles, CA 90044-4855

Phone

(323) 781-5238

NPI assigned

Jul 22, 2024

Last updated

Sep 23, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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.

• Weaspora SPC

  dba WeAspora

  • Peer Specialist
  • Los Angeles, CA
  • NPI 1265379994
  NPD Authorized official

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

{
    "created_epoch": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790121600000",
    "number": "1952139917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8623 S VERMONT AVE APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444855",
            "telephone_number": "323-781-5238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8623 S VERMONT AVE APT 6",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900444855",
            "telephone_number": "323-781-5238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANDOVAL",
        "first_name": "SUTIWEYU",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-22",
        "last_updated": "2026-09-23",
        "certification_date": "2026-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "CA",
            "license": "MPSS-FUMTAR",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MPSS-FUMTAR",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rene Sandoval
• Ricardo Sandoval
• Rufina Sandoval, LCSW
• Sandra Sandoval
• Stephanie Anahy Sandoval
• Sylvia Sandoval
• Valerie Deloren Sandoval, SUDRC
• Willie Sandoval
• Yasmin Vanessa Sandoval
• Yeni H Sandoval

• Peer Specialist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Peer Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2026; 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.