Sumana Soonthorn

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

81586 Issued in CA

Practice address

7841 Balboa Ave Ste 204
San Diego, CA 92111-2313

Phone

(619) 876-8033

NPI assigned

Oct 11, 2023

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

State licenses

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

{
    "created_epoch": "1696982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1215718598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 MISSION BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921092734",
            "telephone_number": "619-634-6349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7841 BALBOA AVE STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921112313",
            "telephone_number": "619-876-8033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4690 Mission Blvd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921092734",
            "country_code": "US",
            "telephone_number": "619-876-8033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOONTHORN",
        "first_name": "SUMANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-11",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "81586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson B Soohoo
• Sooil LLC (Sooil USA)
• Jessica Norie Soon Prado, LMFT
• Seaver Lee Soon, M.D.
• John J Soong, MD
• Khwanthida Soonthornpong, NP
• Scott Soots, IDC
• Elizabeth Sophy
• Sophya Nadya Morghem DMD Ms
• Zachary Sopko, MS, RN

• Massage Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.