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
- Last updated
- Feb 9, 2026
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17512 | CA | MD | Acupuncturist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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.