Active NPI
Sommer Pedroza, FNP-C
- Obstetrics & Gynecology Nurse Practitioner
- Fountain Valley, CA
National Provider Identifier
1265631188
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 95022007
- Practice address
- 15975 Harbor Blvd
Fountain Valley, CA 92708-1303 - Phone
- (714) 546-6575
- NPI assigned
- Jul 11, 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Registered Nurse | 163WC1500X | 622161 | CA | |
| Maternal Newborn Registered Nurse | 163WM0102X | 622161 | CA | |
| School Registered Nurse | 163WS0200X | 622161 | CA | |
| Family Nurse Practitioner | 363LF0000X | 95022007 | CA | |
| Women's Health Nurse Practitioner | 363LW0102X | 95022007 | CA | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 95022007 | CA | Primary |
Addresses
Primary practice location
15975 Harbor Blvd
Fountain Valley, CA 92708-1303
Mailing address
15975 Harbor Blvd
Fountain Valley, CA 92708-1303
Phone (714) 546-6575
Other practice location 1
1601 E Chestnut Ave
Santa Ana, CA 92701-6322
Phone (714) 558-5801
Other practice location 2
1629 S Center St
Santa Ana, CA 92704-4111
Phone (714) 433-3462
Other practice location 3
1725 W 17th St Ste 101E
Santa Ana, CA 92706-2316
Phone (714) 834-8752
Other names 1
- Sommer Zermeno
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 622161 | CA | MD | School Registered Nurse |
| 95022007 | CA | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Santa Ana Unified School District | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Local Education Agency (LEA)
- Santa Ana, CA
- NPI 1639395346
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699315200000",
"number": "1265631188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15975 HARBOR BLVD",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081303",
"telephone_number": "714-546-6575"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15975 HARBOR BLVD",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927081303",
"telephone_number": "714-546-6575"
}
],
"practiceLocations": [
{
"address_1": "1601 E Chestnut Ave",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927016322",
"country_code": "US",
"telephone_number": "714-558-5801",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1629 S Center St",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927044111",
"country_code": "US",
"telephone_number": "714-433-3462",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1725 W 17th St Ste 101E",
"address_purpose": "LOCATION",
"city": "Santa Ana",
"state": "CA",
"postal_code": "927062316",
"country_code": "US",
"telephone_number": "714-834-8752",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEDROZA",
"first_name": "SOMMER",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "163WC1500X",
"taxonomy_group": "",
"desc": "Registered Nurse, Community Health",
"state": "CA",
"license": "622161",
"primary": false
},
{
"code": "163WM0102X",
"taxonomy_group": "",
"desc": "Registered Nurse, Maternal Newborn",
"state": "CA",
"license": "622161",
"primary": false
},
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "CA",
"license": "622161",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95022007",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "95022007",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "CA",
"license": "95022007",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SOMMER",
"last_name": "ZERMENO",
"credential": "RN, PHN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.