DR. ROBERTO SANDOVAL (NPI# 1780625913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780625913 |
| Entity Type | Individual |
| Full Name | DR. ROBERTO SANDOVAL |
| Credential | M.D. |
| Practice Address |
1128 N Hill Ave Pasadena CA 91104-3048 |
| Practice Telephone | 6263723018 |
| Mailing Telephone | 6263723018 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | A79015 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A790150 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457727406 | Roberto Mauricio Sandoval | Dentist | 7011 Bissonnet St Unit C, Houston, TX 77074-6067 | 2015-08-13 |
| 1912243007 | Roberto Sosa Sandoval | Counselor | 18553 Arminta St, Reseda, CA 91335-1834 | 2012-12-18 |
| 1003944257 | Roberto Sandoval | Physical Therapist | 2015 Thomas St, Houston, TX 77009-8044 | 2007-03-01 |
| Street Address |
1128 N HILL AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-3048 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841704848 | Medexpress Urgent Care Texas, P.a. | Emergency Medicine | 4750 Fairmont Pkwy, Pasadena, TX 77504-3330 | 2017-11-29 |
| 1578829438 | Kevin W Chu | Emergency Medicine | 100 West California Blvd, Unit 25, Pasadena, CA 91105 | 2012-04-05 |
| 1528367174 | Huma Khan | Emergency Medicine | 2079 Monte Vista St, Pasadena, CA 91107 | 2011-03-22 |
| 1811207384 | Josephine Bufalino | Emergency Medicine | 293 S Grand Ave, Pasadena, CA 91105-1623 | 2010-10-18 |
| 1235364167 | Allison Daum | Emergency Medicine | 5161 E Sam Houston Pkwy S, Pasadena, TX 77505-3915 | 2009-05-21 |
| 1972629707 | Lawrence Jeffrey Rudd | Emergency Medicine | 1414 Ridge Way, Pasadena, CA 91106-4516 | 2007-03-22 |
| 1902902257 | Stanton C. Packard | Emergency Medicine | 4002 Burke Rd, Pasadena, TX 77504-3451 | 2006-09-15 |
| 1386758746 | James Daniel Luna | Emergency Medicine | 100 California Blvd, Pasadena, CA 91105-1510 | 2006-08-19 |
| 1699792127 | Robert Alan Yoho | Emergency Medicine | 797 S Arroyo Pkwy, Pasadena, CA 91105-3234 | 2006-07-17 |
| 1689618464 | Dirk De Brito | Emergency Medicine | 751 N Fair Oaks Ave, Suite 300, Pasadena, CA 91103-3069 | 2006-06-15 |
| Find all providers in PASADENA | ||||
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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.