Sinath Prom, RN FIRST ASSISTANT

Primary specialty

Registered Nurse First AssistantTaxonomy code 163WR0006X

License

823824 Issued in CA

Practice address

1642 Trieste CT
San Jose, CA 95122-3833

Phone

(562) 394-5977

NPI assigned

Aug 14, 2019

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

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1306492541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 TRIESTE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223833",
            "telephone_number": "562-394-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 TRIESTE CT",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951223833",
            "telephone_number": "562-394-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROM",
        "first_name": "SINATH",
        "credential": "RN FIRST ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "CA",
            "license": "823824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Donald James Prolo, M.D.
• Nacha Promsatian
• Pronurseregistery
• Prosper Health Medical Services West PC
• Tania Protsenko, MA IN COUNSELING PSY
• Beth Turner Proudfoot, LMFT

• Registered Nurse First Assistant in San Jose, CA
• Providers in San Jose, CA by specialty
• Registered Nurse First Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; 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.