Active NPI
Somchith Phongboupha Almondia, LCSW
- Clinical Social Worker
- San Pablo, CA
National Provider Identifier
1144366113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- ASW 14951
- Practice address
- 13585 San Pablo Ave.
2ND Floor
San Pablo, CA 94806 - Phone
- (510) 942-4700
- Fax
- (510) 942-4776
- NPI assigned
- Jan 29, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW 14951 | CA | Primary |
Addresses
Primary practice location
13585 San Pablo Ave.
2ND Floor
San Pablo, CA 94806
Mailing address
13585 San Pablo Ave.
2ND Floor
San Pablo, CA 94806
Phone (510) 942-4700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 14951 | CA | MD | Clinical Social Worker |
| 80938 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Contra Costa County | Past | Accepting new patients | |
| Contra Costa County | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Adult Mental Health Clinic/Center
- Richmond, CA
- NPI 1952489270
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614297600000",
"number": "1144366113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13585 SAN PABLO AVE.",
"address_2": "2ND FLOOR",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-942-4700",
"fax_number": "510-942-4776"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13585 SAN PABLO AVE.",
"address_2": "2ND FLOOR",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "94806",
"telephone_number": "510-942-4700",
"fax_number": "510-942-4776"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHONGBOUPHA ALMONDIA",
"first_name": "SOMCHITH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-29",
"last_updated": "2021-02-26",
"certification_date": "2021-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW 14951",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.