Christina Han-Souksavong Ma, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

5934 Issued in CA

Practice address

857 W Childs Ave
Merced, CA 95341-6862

Phone

(209) 722-4842

NPI assigned

Aug 22, 2019

Last updated

Feb 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Group practices

Provident Primary Care IncGroup PAC ID 8628350873, 10 clinicians

Golden Valley Health CentersGroup PAC ID 4183527187, 114 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Compassionate Care Home Health Agency, LLC Home health agency, Fresno, CA, CCN 058233
• Mercy Medical Center Hospital, Merced, CA, CCN 050444

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations (25 of 26)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Golden Valley Health Centers

  • Federally Qualified Health Center (FQHC)
  • Turlock, CA
  • NPI 1356445753
  Medicare reassignment Care Compare group NPD
• Provident Primary Care Inc

  • Primary Care Clinic/Center
  • Merced, CA
  • NPI 1154785517

  Podiatrist

  Medicare reassignment Care Compare group NPD
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Internal Medicine Physician
  • Fresno, CA
  • NPI 1811258510

  Podiatrist

  Medicare reassignment NPD
• Valley Foot and Ankle Specialty Providers, Inc.

  dba Valley Podiatric Wound Care

  • Podiatrist
  • Fresno, CA
  • NPI 1821780461
  Medicare reassignment
• Community Foundation Medical Group

  dba Sante' Foundation Medical Group

  • Orthopaedic Surgery Physician
  • Fresno, CA
  • NPI 1376056721
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Manteca, CA
  • NPI 1679013726
  NPD
• Golden Valley Health Centers

  dba GVHC Pharmacy

  • Community/Retail Pharmacy
  • Merced, CA
  • NPI 1093817405
  NPD
• Golden Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Modesto, CA
  • NPI 1487867503
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Compassionate Care Home Health

  dba Compassionate Care Home Health Agency, LLC

  • Home Health Agency
  • Fresno, CA
  • NPI 1609826387
  Care Compare affiliation
• Dignity Health

  dba Mercy Medical Center Merced

  • General Acute Care Hospital
  • Merced, CA
  • NPI 1518018191
  Care Compare affiliation

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

{
    "created_epoch": "1566432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1295382489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "857 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416862",
            "telephone_number": "209-383-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "857 W CHILDS AVE",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416862",
            "telephone_number": "209-722-4842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "CHRISTINA",
        "middle_name": "HAN-SOUKSAVONG",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-22",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "5934",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luxottica Retail North America Inc (Sears Optical #1757)
• Avinoam Luzon, M.D.
• Lyell Wellness, Inc (Merced Chiropractic)
• Preston Blake Lyon
• M. Daisy Ilano Dba Journey to Kindness Health Management Services
• Ashley Machado, MSW
• Lilia Guerra Macias, LVN
• Mia Macias
• Maciej G. Ossowski, M.D., Inc.
• Nakietta Nakiese Mack, LVN

• Podiatrist in Merced, CA
• Providers in Merced, CA by specialty
• Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.