NICOLE SANDOVAL (NPI# 1902370067) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902370067 |
| Entity Type | Individual |
| Full Name | NICOLE SANDOVAL |
| Practice Address |
39155 Liberty St Suite E500 Fremont CA 94538 |
| Mailing Address |
39155 Liberty St Ste E500 Fremont CA 94538-1516 |
| Practice Telephone | 5105742100 |
| Mailing Telephone | 5105742100 |
| Enumeration Date | 2019-01-11 |
| Last Update Date | 2019-01-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 39155 Liberty St Ste E500, Fremont, CA 945381516 | 5105742100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770105025 | Nicole Sandoval | Counselor | 20 Vesper Ln, Nantucket, MA 02554-4394 | 2020-05-09 |
| 1730668815 | Nicole Sandoval | Specialist/Technologist, Other | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2018-08-09 |
| 1326527565 | Nicole Sandoval | Registered Nurse | 800 Odelia Rd Ne, Albuquerque, NM 87102-1619 | 2018-08-08 |
| 1568960235 | Nicole Sandoval | Behavioral Analyst | 11060 N Kendall Dr, Miami, FL 33176-1272 | 2018-01-29 |
| 1689198723 | Nicole Sandoval | Physician Assistant | 309 E 2nd St, Pomona, CA 91766-1854 | 2017-07-31 |
| Street Address |
39155 LIBERTY ST SUITE E500 |
| City | FREMONT |
| State | CA |
| Zip Code | 94538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| 1104342211 | Katalin Szabo | Student in an Organized Health Care Education/Training Program | 93465 Paseo Padre Pkwy, Ste 2100, Fremont, CA 94538 | 2017-08-21 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013416320 | Tammy Jo Broshious | Counselor | 512 E State St, Fremont, OH 43420-4259 | 2018-02-02 |
| 1770952475 | Yvette Augustine | Counselor | 4075 Tamayo St, Fremont, CA 94536-4625 | 2015-09-23 |
| 1518363548 | Lindsay Brundege | Counselor | 1420 E Military Ave, Fremont, NE 68025-5300 | 2014-11-19 |
| 1003186818 | Edgar T. Young | Counselor | 4219 Tiburon Dr, Fremont, CA 94555-3261 | 2012-01-10 |
| 1083905988 | Awareness Counseling | Counselor | 2170 N Platte Ave, Fremont, NE 68025-2630 | 2011-04-26 |
| 1932420643 | P & P Fabrication | Counselor | 92 W 5th St, Ste B, Fremont, NE 68025 | 2010-06-16 |
| 1295968717 | Nichole Bonnie Gregory | Counselor | 2170 North Platte Street, Awareness Counseling, Fremont, NE 68025-2630 | 2009-09-01 |
| 1023273521 | Sarah Magdalene Cady | Counselor | 513 N D St, Fremont, NE 68025-5051 | 2008-07-23 |
| 1457532921 | Paul Francisco | Counselor | 41299 Paseo Padre Pkwy, Apt. # 12, Fremont, CA 94539-4551 | 2007-11-26 |
| 1841488004 | Connie Jenkins | Counselor | 4510 Peralta Blvd, Suite 1, Fremont, CA 94536-5755 | 2007-10-11 |
| Find all providers in FREMONT | ||||
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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.