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LISA ANITA SANDOVAL
NPI 1104785617
Rehabilitation Practitioner in Palmdale, CA

Active since January 20, 2026
1050 E PALMDALE BLVD STE 211, PALMDALE, CA 93550(661) 208-4699 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 3, 2026, Jan 28, 2026, Jan 20, 2026 (3 updates tracked since 2026).

About Lisa Anita Sandoval NPPES

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

LISA ANITA SANDOVAL (NPI 1104785617) is an individual rehabilitation practitioner in Palmdale, California, licensed in California (R16211170725) and active in the NPI registry since January 2026.

NPPES Registry Identity

NPI1104785617
Entity TypeIndividualFemale
Primary Taxonomy225400000X
Provider Legal NameLISA ANITA SANDOVAL
Location Address1050 E PALMDALE BLVD STE 211Palmdale, CA 93550-4750
Mailing Address1050 E Palmdale Blvd Ste 211Palmdale, CA 93550-4750 · (661) 208-4699 · Fax (661) 208-4761
Phone(661) 208-4699
Sole ProprietorNo
Enumeration DateJanuary 20, 2026
Last NPPES UpdateFebruary 3, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1104785617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRehabilitation PractitionerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225400000X
License✔ Licensed in CA · R16211170725
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
1050 E PALMDALE BLVD STE 211, Palmdale, CA 93550
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Other Providers at the Same Location NPPES 12

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

REBECCA MIELCZAREK ASW
Social Worker (Clinical)
1050 E PALMDALE BLVD STE 211
PALMDALE, CA 93550
Los Angeles County (661) 208-4699
ARACELI GOMEZ
Case Manager/Care Coordinator
1050 E PALMDALE BLVD STE 211
PALMDALE, CA 93550
Los Angeles County (661) 208-4699
LUCIA LAGUNA
Counselor (Mental Health)
1050 E PALMDALE BLVD STE 211
PALMDALE, CA 93550
Los Angeles County (213) 620-5712
NICOLE SANCHEZ
Social Worker (Clinical)
1050 E PALMDALE BLVD STE 211
PALMDALE, CA 93550
Los Angeles County (661) 208-4699
MAGGIE AMANDA-TESS HERNANDEZ
Rehabilitation Practitioner
1050 E PALMDALE BLVD STE 211
PALMDALE, CA 93550
Los Angeles County (661) 208-4699
DAWN HOLLINS
Case Manager/Care Coordinator
1050 E PALMDALE BLVD STE 211
PALMDALE, CA 93550
Los Angeles County (661) 208-4699
RONNELL BROWN
Case Manager/Care Coordinator
1050 E PALMDALE BLVD STE 211
PALMDALE, CA 93550
Los Angeles County (661) 208-4699
SILVIA PEREZ
Student in an Organized Health Care Education/Training Program
1050 E PALMDALE BLVD STE 211
PALMDALE, CA 93550
Los Angeles County (661) 208-4761

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 Lisa Sandoval's NPI number?

The NPI number for Lisa Sandoval is 1104785617. It was assigned to this individual provider in the NPPES registry on January 20, 2026.

Where is Lisa Sandoval located?

Lisa Sandoval practices at 1050 E Palmdale Blvd Ste 211, Palmdale, CA 93550. The listed phone number is (661) 208-4699.

What is Lisa Sandoval's specialty?

The primary specialty registered for this NPI is Rehabilitation Practitioner with taxonomy code 225400000X.

When was this NPI record last updated?

The NPPES record for Lisa Sandoval was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.