ILDELISA SANDOVAL
NPI 1053040634
Case Manager/Care Coordinator in San Jose, CA

Active since June 08, 2022
650 S BASCOM AVE, SAN JOSE, CA 95128(408) 888-3165 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 10, 2024, Jun 8, 2022 (2 updates tracked since 2022).

About Ildelisa Sandoval NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ILDELISA SANDOVAL (NPI 1053040634) is an individual case manager/care coordinator provider in San Jose, California and active in the NPI registry since June 2022. She maintains a secondary practice location in San Jose.

NPPES Registry Identity

NPI1053040634
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameILDELISA SANDOVAL
Location Address650 S BASCOM AVESan Jose, CA 95128-2601
Mailing Address1922 The Alameda Ste 316San Jose, CA 95126-1461 · (408) 261-7777
Sole ProprietorNo
Enumeration DateJune 8, 2022
Last NPPES UpdateDecember 10, 20242 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
NPI 1053040634 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
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.
650 S BASCOM AVE, San Jose, CA 95128

Secondary Practice Location 1

Location 1345 West CtSan Jose, CA 95116-1038 · Phone (408) 888-3165

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
650 S BASCOM AVE
SAN JOSE, CA 95128
Obstetrics & Gynecology (Complex Family Planning)
650 S BASCOM AVE
SAN JOSE, CA 95128
Counselor (Addiction (Substance Use Disorder))
650 S BASCOM AVE
SAN JOSE, CA 95128
Counselor (Mental Health)
650 S BASCOM AVE
SAN JOSE, CA 95128
Counselor (Addiction (Substance Use Disorder))
650 S BASCOM AVE
SAN JOSE, CA 95128
Counselor (Addiction (Substance Use Disorder))
650 S BASCOM AVE
SAN JOSE, CA 95128
Rehabilitation Practitioner
650 S BASCOM AVE
SAN JOSE, CA 95128
Psychiatry & Neurology (Child & Adolescent Psychiatry)
650 S BASCOM AVE
SAN JOSE, CA 95128

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ildelisa Sandoval's NPI number?

The NPI number for Ildelisa Sandoval is 1053040634. It was assigned to this individual provider in the NPPES registry on June 8, 2022.

Where is Ildelisa Sandoval located?

Ildelisa Sandoval practices at 650 S Bascom Ave, San Jose, CA 95128. The listed phone number is (408) 888-3165.

What is Ildelisa Sandoval's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Ildelisa Sandoval was last updated on December 10, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.