Individual provider Active NPI

Sophear In, FNP-C

  • Family Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1164940433
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007151 Issued in CA
Practice address
9493 N Fort Washington Rd Ste 103
Fresno, CA 93730-0637
Phone
(866) 808-6005
NPI assigned
Sep 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95007151 CA
Adult Health Nurse Practitioner 363LA2200X 95007151 CA
Family Nurse Practitioner 363LF0000X 95007151 CA Primary

Addresses

Primary practice location

9493 N Fort Washington Rd Ste 103
Fresno, CA 93730-0637

Mailing address

1350 Florin Rd
Sacramento, CA 95822-4202
Phone (916) 392-5184

Other practice location 1

2071 Herndon Ave
Clovis, CA 93611-6101
Phone (559) 324-5100

Other practice location 2

1350 Florin Rd
Sacramento, CA 95822-4202
Phone (916) 392-5184

Other practice location 3

2651 Highland Ave
Selma, CA 93662-3392
Phone (559) 898-6000

Other practice location 4

7300 N Fresno St
Fresno, CA 93720-2942
Phone (559) 448-4500

Other names 1

  • Sophia In Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171031002185 CA Practitioner - Nurse Practitioner 5991071201 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America-California CurrentSince Oct 1, 2017 Accepting new patients
Cep America - California CurrentSince Oct 1, 2017 Accepting new patients
Cep America - California Current Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1141 Rose Ave
Selma, CA 93662
Phone (559) 790-2800

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1504656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1164940433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 FLORIN RD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958224202",
            "telephone_number": "916-392-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9493 N FORT WASHINGTON RD STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937300637",
            "telephone_number": "866-808-6005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2071 Herndon Ave",
            "address_purpose": "LOCATION",
            "city": "Clovis",
            "state": "CA",
            "postal_code": "936116101",
            "country_code": "US",
            "telephone_number": "559-324-5100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Florin Rd",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958224202",
            "country_code": "US",
            "telephone_number": "916-392-5184",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2651 Highland Ave",
            "address_purpose": "LOCATION",
            "city": "Selma",
            "state": "CA",
            "postal_code": "936623392",
            "country_code": "US",
            "telephone_number": "559-898-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 N Fresno St",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937202942",
            "country_code": "US",
            "telephone_number": "559-448-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IN",
        "first_name": "SOPHEAR",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-06",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95007151",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95007151",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIA",
            "last_name": "IN",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.