Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ILAI SANDOVAL
NPI 1053218024
Community/Behavioral Health in Santo Domingo Pueblo, NM

Q: What is Ilai Sandoval's NPI number?

The NPI number for Ilai Sandoval is 1053218024. It was assigned to this individual provider in the NPPES registry on October 22, 2026.

Q: What is Ilai Sandoval's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Q: When was this NPI record last updated?

The NPPES record for Ilai Sandoval was last updated on October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 22, 2026

18 EAGLE CT, SANTO DOMINGO PUEBLO, NM 87052(505) 465-2733(505) 465-0433 Get Directions Write a Review

NPPES record added: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Ilai Sandoval NPPES

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

ILAI SANDOVAL (NPI 1053218024) is an individual community/behavioral health provider in Santo Domingo Pueblo, New Mexico and active in the NPI registry since October 2026.

NPPES Registry Identity

NPI1053218024

Entity TypeIndividualMale

Primary Taxonomy251S00000X

Provider Legal NameILAI SANDOVAL

Location Address18 EAGLE CTSanto Domingo Pueblo, NM 87052-1230

Mailing AddressPo Box 274Algodones, NM 87001-0274 · (505) 220-4103

Phone(505) 465-2733

Fax(505) 465-0433

Sole ProprietorYes

Enumeration DateOctober 22, 2026

NPPES CertifiedOctober 22, 2026

✔ NPI 1053218024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.

18 EAGLE CT, Santo Domingo Pueblo, NM 87052

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Other Providers at the Same Location NPPES 11

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

DEZBAH STUMPFF LMHC

Counselor (Mental Health)