Active NPI
Robert Mark Sandoval, CATC III
- Addiction (Substance Use Disorder) Counselor
- Palm Springs, CA
National Provider Identifier
1962273508
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 17512
- Practice address
- 1330 N Indian Canyon Dr Ste a
Palm Springs, CA 92262-4880 - Phone
- (760) 322-9065
- NPI assigned
- Jan 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 17512 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
1330 N Indian Canyon Dr Ste a
Palm Springs, CA 92262-4880
Mailing address
85 Ramona Expy
Perris, CA 92571-7014
Phone (626) 348-1441
Other practice location 1
85 Ramona Expy
Perris, CA 92571
Phone (626) 348-1441
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WCHS Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Methadone Clinic
- Palm Springs, CA
- NPI 1215947775
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770595200000",
"number": "1962273508",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "85 RAMONA EXPY",
"city": "PERRIS",
"state": "CA",
"postal_code": "925717014",
"telephone_number": "626-348-1441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1330 N INDIAN CANYON DR STE A",
"city": "PALM SPRINGS",
"state": "CA",
"postal_code": "922624880",
"telephone_number": "760-322-9065"
}
],
"practiceLocations": [
{
"address_1": "85 Ramona Expy",
"address_purpose": "LOCATION",
"city": "Perris",
"state": "CA",
"postal_code": "92571",
"country_code": "US",
"telephone_number": "626-348-1441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANDOVAL",
"first_name": "ROBERT",
"middle_name": "MARK",
"name_prefix": "Mr.",
"credential": "CATC III",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-11",
"last_updated": "2026-02-09",
"certification_date": "2026-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "17512",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palm Springs, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.