LUZ ADRIANA DONATO-SANDOVAL
NPI 1972124691
Student in an Organized Health Care Education/Training Program in Patton, CA

Active since May 04, 2020PECOS Enrolled
3102 E HIGHLAND AVE, PATTON, CA 92369(714) 299-4575 Get Directions Write a Review

NPPES record last updated: May 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 10, 2022, Aug 2, 2021, Jul 16, 2020 and 1 more (4 updates tracked since 2020).

About Luz Adriana Donato-sandoval NPPES

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

LUZ ADRIANA DONATO-SANDOVAL (NPI 1972124691) is an individual student in an organized health care education/training program in Patton, California and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1972124691
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameLUZ ADRIANA DONATO-SANDOVAL
Location Address3102 E HIGHLAND AVEPatton, CA 92369-7813
Mailing Address840 W La Jolla St Apt 1aPlacentia, CA 92870-7049 · (714) 299-4575
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 4, 2020
Last NPPES UpdateMay 10, 20224 updates tracked since enumeration
NPPES CertifiedMay 10, 2022
NPI 1972124691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X
3102 E HIGHLAND AVE, Patton, CA 92369

Secondary Practice Locations 2

Location 118646 Oxnard StTarzana, CA 91356-1411 · Phone (818) 996-1051
Location 22026 W Beacon AveAnaheim, CA 92804-4406 · Phone (657) 276-7030

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Luz Adriana Donato-sandoval is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7012488455
PECOS Enrollment IDI20260605002128
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 20

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

Social Worker (Clinical)
3102 E HIGHLAND AVE
PATTON, CA 92369
Psychiatry & Neurology (Psychiatry)
3102 E HIGHLAND AVE
PATTON, CA 92369
Psychologist (Clinical)
3102 E HIGHLAND AVE
PATTON, CA 92369
Clinical Neuropsychologist
3102 E HIGHLAND AVE
PATTON, CA 92369
Psychiatric Hospital
3102 E HIGHLAND AVE
PATTON, CA 92369
Psychiatry & Neurology (Psychiatry)
3102 E HIGHLAND AVE
PATTON, CA 92369
Psychologist
3102 E HIGHLAND AVE
PATTON, CA 92369
Psychiatry & Neurology (Psychiatry)
3102 E HIGHLAND AVE, MEDICAL STAFF OFFICE
PATTON, CA 92369

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 Luz Donato-sandoval's NPI number?

The NPI number for Luz Donato-sandoval is 1972124691. It was assigned to this individual provider in the NPPES registry on May 4, 2020.

Where is Luz Donato-sandoval located?

Luz Donato-sandoval practices at 3102 E Highland Ave, Patton, CA 92369. The listed phone number is (714) 299-4575.

What is Luz Donato-sandoval's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Luz Donato-sandoval enrolled in Medicare?

Yes. Luz Donato-sandoval is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luz Donato-sandoval was last updated on May 10, 2022. 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.