Sophorn Sonnie Sam

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

1515 E 20TH St Apt 1
Long Beach, CA 90806-5717

Phone

(562) 527-1093

NPI assigned

Jun 12, 2024

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1013750645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 E 20TH ST APT 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065717",
            "telephone_number": "562-527-1093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 E 20TH ST APT 1",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908065717",
            "telephone_number": "562-527-1093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAM",
        "first_name": "SOPHORN",
        "middle_name": "SONNIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Salvatori
• Kathleen Ann Salvatori, COTA
• Willy Peter Salvosa-Chua, LVN
• Phaly Sam II, MS
• Sidary Sam, MSW
• Sam'S Club Optical
• Farha Samaan, DPT
• Fawzia F Samaan, M.D.
• Amanda Samaniego
• Miguel Angel Samaniego

• Home Health Aide in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Home Health Aide in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.