Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ildelisa Sandoval

Individual provider Case Manager/Care Coordinator · NPI 1053040634

Ildelisa Sandoval is a Case Manager/Care Coordinator in San Jose, California. Works from 2 locations. Registered with an NPI since 2022.

In the registry since
2022

Practice location Address checks out

650 S Bascom Ave
San Jose, CA 95128-2601
Phone: (408) 888-3165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 345 West Ct, San Jose, CA 95116-1038 — (408) 888-3165

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X

Record details

NPI number1053040634
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 8, 2022
Last updated in NPPESDecember 10, 2024
Certification dateDecember 10, 2024

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