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Deactivated NPI 1497123947 Deactivated / Inactive NPI Male Practitioner

Samuel Sandoval

Counselor • Lancaster, CA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Samuel Sandoval has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date September 14, 2015
NPI Deactivation Date March 01, 2023
Total Practice Duration ~8 Years of Practice (2015 – 2023)

Professional Overview & Biography Verified Profile Summary

Samuel Sandoval was a registered Counselor practicing in Lancaster, CA. Throughout an active medical career spanning 8 years, Samuel Sandoval provided care at the practice location at 44443 10TH ST W until profile deactivation on 2023-03-01.

Practice Location & Contact Primary Location

Practice Address

44443 10th St W

Lancaster, CA 935343346

Telephone 6617262630
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor in Lancaster, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 12.9 Yrs
Regional Practice Density
33 Specialists

Practicing in Lancaster, CA (14303 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Counselor Primary Specialty

NUCC Taxonomy Code: 101Y00000X

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Angel Richard

Social Worker - Clinical

NPI 1003561077
April Salgado , MPSS

Peer Specialist

NPI 1003778192
Charles Flores

Counselor - Addiction (Substance Use Disorder)

NPI 1013032929
Josue Gutierrez

Peer Specialist

NPI 1013697275
Nancy Davis , BA

Counselor - Mental Health

NPI 1023327004

Bachelor of Arts

Lori Shafer

Counselor - Addiction (Substance Use Disorder)

NPI 1023437985

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated March 01, 2023

Record deactivated on March 01, 2023

NPI Profile Active September 14, 2015

NPI status registered as active in NPPES database

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Updated Practice Location September 14, 2015

Registered at 44443 10TH ST W, LANCASTER, CA 935343346 (Tel: 6617262630)

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Updated Business Mailing Address September 14, 2015

Registered at 44443 10TH ST W, LANCASTER, CA 935343346

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Provider Name / Credentials Updated September 14, 2015

Recorded as SAMUEL SANDOVAL

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Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2015

Counselor

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Initial NPI Registration & Enumeration September 14, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497123947
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 14, 2015
Last Update: September 14, 2015
Deactivation Date: March 01, 2023

Mailing Address

44443 10th St W

Lancaster, CA 935343346

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.