JORGE SANDOVAL MA, IMF
NPI 1154695518
Marriage & Family Therapist in Riverside, CA

Q: What is Jorge Sandoval's NPI number?

The NPI number for Jorge Sandoval is 1154695518. It was assigned to this individual provider in the NPPES registry on March 2, 2012.

Q: What is Jorge Sandoval's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Q: When was this NPI record last updated?

The NPPES record for Jorge Sandoval was last updated on November 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 March 02, 2012PECOS Enrolled

5225 CANYON CREST DR BLDG 100, RIVERSIDE, CA 92507(951) 248-4000 Get Directions Write a Review

NPPES record last updated: November 10, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 10, 2021, Feb 6, 2020 (2 updates tracked since 2020).

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About Jorge Sandoval Ma, Imf NPPES

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

JORGE SANDOVAL MA, IMF (NPI 1154695518) is an individual marriage & family therapist in Riverside, California, licensed in California (90557) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154695518

Entity TypeIndividualMale

Primary Taxonomy106H00000X

Provider Legal NameJORGE SANDOVALCredential: MA, IMF

Location Address5225 CANYON CREST DR BLDG 100Riverside, CA 92507-6301

Mailing Address5225 Canyon Crest Dr Bldg 100Riverside, CA 92507-6301 · (951) 248-4000

Phone(951) 248-4000

Sole ProprietorNo

Enumeration DateMarch 2, 2012

Last NPPES UpdateNovember 10, 20212 updates tracked since enumeration

NPPES CertifiedNovember 10, 2021

✔ NPI 1154695518 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers

Taxonomy Code106H00000X

License✔ Licensed in CA · 90557

Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

5225 CANYON CREST DR BLDG 100, Riverside, CA 92507

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jorge Sandoval Ma, Imf is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 6

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

SARAH CHRISTINE CAPILI PALACIO

Marriage & Family Therapist