JUDITH ADRIANA SANDOVAL (NPI# 1770892333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770892333 |
| Entity Type | Individual |
| Full Name | JUDITH ADRIANA SANDOVAL |
| Practice Address |
801 E Chapman Ave Fullerton CA 92831-3839 |
| Mailing Address |
12131 160th St Norwalk CA 90650-7141 |
| Practice Telephone | 5629294308 |
| Mailing Telephone | 5624727176 |
| Enumeration Date | 2010-09-30 |
| Last Update Date | 2019-07-31 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | CA | Other Service Providers |
| Street Address |
801 E CHAPMAN AVE |
| City | FULLERTON |
| State | CA |
| Zip Code | 92831-3839 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588676795 | Dawn Marie Ledesma | Marriage & Family Therapist | 801 E Chapman Ave, #203, Fullerton, CA 92831-3839 | 2006-08-13 |
| 1760080402 | Victoria R Calhoun | Rehabilitation Counselor | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2020-10-14 |
| 1992315774 | Luis Cordoba | Case Manager/Care Coordinator | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2020-08-05 |
| 1033766811 | Amanda Rose Wightman | Student in an Organized Health Care Education/Training Program | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2019-08-26 |
| 1750941209 | Nichole Gonzalez | Licensed Vocational Nurse | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2019-06-17 |
| 1760040935 | Maricela Verduzco | Case Manager/Care Coordinator | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2019-06-03 |
| 1194294918 | Onofre Castro | Rehabilitation Practitioner | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2018-11-21 |
| 1083198428 | Gabriel Franco | Counselor | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2018-09-21 |
| 1023503133 | Allyson Pelletier | Marriage & Family Therapist | 801 E Chapman Ave, Fullerton, CA 92831 | 2018-06-30 |
| 1447753710 | Ana Quispe | Rehabilitation Practitioner | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2018-03-13 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982169280 | Jennifer Ann Carroll | Counselor | 2246 N. State College Blvd, Fullerton, CA 92831 | 2019-01-31 |
| 1043733736 | Jimmy K Bhatt | Dentist | 1126 E Commonweath Ave, Fullerton, CA 92831 | 2017-07-25 |
| 1447625090 | Kairos Management | Assisted Living Facility | 1621 E. Chapman Ave, Fullerton, CA 92831 | 2015-12-08 |
| 1407251630 | Sam's West, Inc | Technician/Technologist | 601 S Placentia Ave, Fullerton, CA 92831 | 2014-10-30 |
| 1114361813 | Teresa Kyu Thin Khoo | Internal Medicine | 1907 Deerpark Dr Apt 546, Fullerton, CA 92831 | 2013-04-24 |
| 1699020586 | Julia A Bock | Occupational Therapy Assistant | 1240 N Frances Avenue, Fullerton, CA 92831 | 2012-07-17 |
| 1649566225 | The Center for The Treatment of Addiction | Preferred Provider Organization | 104 N. Raymond Ave., A-2, Fullerton, CA 92831 | 2011-06-22 |
| 1366746877 | Leticia Vallejo | Rehabilitation Practitioner | 801 E.chapman Ave, Fullerton, CA 92831 | 2010-12-28 |
| 1083916860 | Angelica Victoria Norman | Counselor | 801 East Chapman Suite 203, Fullerton, CA 92831 | 2010-11-30 |
| 1457683237 | The Paradise | Home Delivered Meals | 659 S Sate College Blvd., Ste. 51, Fullerton, CA 92831 | 2010-02-04 |
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| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205258159 | Andres Nathan Ramirez | Case Manager/Care Coordinator | 320 W. Elm Ave, Fullerton, CA 92832 | 2014-01-13 |
| 1194068015 | Ana Maria Nava | Case Manager/Care Coordinator | 801 E Chapman Ave 203, Fullerton, CA 92831-3839 | 2013-03-28 |
| 1366747065 | Pooneh Salehi | Case Manager/Care Coordinator | 3340 Quartz Ln Apt L04, Fullerton, CA 92831-2615 | 2011-01-11 |
| 1972784650 | Debra J Anderson | Case Manager/Care Coordinator | 130 W Bastanchury Rd, Fullerton, CA 92835-2502 | 2007-11-21 |
| 1356547186 | Emily D Smith | Case Manager/Care Coordinator | 801 E Chapman Ave Ste 230, Fullerton, CA 92831-3847 | 2007-06-27 |
| 1902971815 | Karen Farr | Case Manager/Care Coordinator | Florence Crittenton Services of Orange County, Inc., 801 E. Chapman Ave., Fullerton, CA 92831-3839 | 2006-11-24 |
| 1740352202 | Monisha R Richardson | Case Manager/Care Coordinator | 801 E. Chapman Ave, Fullerton, CA 92831-3839 | 2006-11-13 |
| 1073683066 | Lisa Kristen Simpson | Case Manager/Care Coordinator | Florence Crittenton Services of Orange County, Inc, 801 E. Chapman Ave, Suite 201, Fullerton, CA 92831-1321 | 2006-11-08 |
| 1992315774 | Luis Cordoba | Case Manager/Care Coordinator | 801 E Chapman Ave, Fullerton, CA 92831-3839 | 2020-08-05 |
| 1548899750 | Gisela Garcia | Case Manager/Care Coordinator | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2020-04-08 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.