Individual provider Active NPI

Somboun Heuangpaseud

  • Peer Specialist
  • Hanford, CA
National Provider Identifier
1144977422
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Practice address
530 Kings County Dr
Hanford, CA 93230-3579
Phone
(559) 907-1140
NPI assigned
Mar 7, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Peer Specialist 175T00000X Primary
Social Worker 104100000X

Addresses

Primary practice location

530 Kings County Dr
Hanford, CA 93230-3579

Mailing address

530 Kings County Dr
Hanford, CA 93230-3579
Phone (559) 907-1140

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address somboun.heuangpaseud@mhsinc.org
Other URL somboun.heuangpaseud@mhsinc.org

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)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1646611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1144977422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 KINGS COUNTY DR",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303579",
            "telephone_number": "559-907-1140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 KINGS COUNTY DR",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303579",
            "telephone_number": "559-907-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEUANGPASEUD",
        "first_name": "SOMBOUN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-03-07",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "somboun.heuangpaseud@mhsinc.org",
            "affiliation": "N",
            "address_1": "530 Kings County Dr",
            "city": "Hanford",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932303579",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "somboun.heuangpaseud@mhsinc.org",
            "affiliation": "N",
            "address_1": "530 Kings County Dr",
            "city": "Hanford",
            "state": "CA",
            "country_code": "US",
            "postal_code": "932303579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.