Individual provider Active NPI

Sommer Pedroza, FNP-C

  • Obstetrics & Gynecology Nurse Practitioner
  • Fountain Valley, CA
National Provider Identifier
1265631188
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
95022007 Issued in CA
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

Updated by the provider on Nov 7, 2023

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
622161CAMDSchool Registered Nurse
95022007CAMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.