Individual provider Active NPI

Sony Naing, FNP

  • Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1265834121
Registry record updated Jun 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
NP95001326 Issued in CA
Practice address
8540 S Sepulveda Blvd
Suite 818-a
Los Angeles, CA 90045-3807
Phone
(310) 675-5370
Fax
(310) 303-6987
NPI assigned
Sep 23, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X NP95001326 CA Primary
Family Nurse Practitioner 363LF0000X F0914361 CA

Addresses

Primary practice location

8540 S Sepulveda Blvd
Suite 818-a
Los Angeles, CA 90045-3807

Mailing address

8540 S Sepulveda Blvd
Suite 818-a
Los Angeles, CA 90045-3807
Phone (310) 675-5370

Other identifiers 1

IdentifierTypeStateIssuer
NP95001326MedicaidCA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address snaing482008@oc.providencedirect.org

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
I20141216001947 CA Practitioner - Nurse Practitioner 0547583999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Providence Medical InstituteGroup PAC ID 5991609737, 303 clinicians

Practice addresses (Care Compare)

Laguna Niguel, CA 92677

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95001326CAMDNurse Practitioner
F0914361CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Institute CurrentSince Jul 12, 2017 Accepting new patients
Providence Medical Institute CurrentSince Jul 12, 2017 Accepting new patients

Locations

11539 Hawthorne Blvd
Ste F
Hawthorne, CA 90250

5100 W Goldleaf Cir
Fl 2
Los Angeles, CA 90056
Phone (323) 293-7171

4314 W Slauson Ave
Los Angeles, CA 90043
Phone (323) 293-7171

21311 Madrona Ave
Ste 101
Torrance, CA 90503
Phone (310) 792-4012

8540 S Sepulveda Blvd
Ste 818
Westchester, CA 90045
Phone (310) 670-3255

8540 S Sepulveda Blvd
Ste 818A
Westchester, CA 90045
Phone (310) 675-5370

Interoperability endpoints

  • Direct secure messaging: snaing482008@oc.providencedirect.org

Organizations & group practices 2

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": "1411430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1265834121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 818-A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-675-5370",
            "fax_number": "310-303-6987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8540 S SEPULVEDA BLVD",
            "address_2": "SUITE 818-A",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900453807",
            "telephone_number": "310-675-5370",
            "fax_number": "310-303-6987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAING",
        "first_name": "SONY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-23",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95001326",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "F0914361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP95001326",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "snaing482008@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "8540 S Sepulveda Blvd",
            "address_2": "Suite 818-A",
            "city": "Los Angeles",
            "state": "CA",
            "country_code": "US",
            "postal_code": "900453807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.