Sam Som, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

559654 Issued in CA

Practice address

17330 Bear Valley Rd
Suite a 106
Victorville, CA 92395-7741

Phone

(760) 245-9999

Fax

(760) 245-8855

NPI assigned

Jan 31, 2007

Last updated

Jul 16, 2014By the provider in NPPES

Sex

Male

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

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

93.7

Improvement activities

40

Cost

79.52

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Tri-State Community Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Needles, CA
  • NPI 1922356369
  Medicare reassignment NPD
• High Desert Cardio-Pulmonary Medical Group Inc

  • Specialist
  • Apple Valley, CA
  • NPI 1043321185
  Medicare reassignment
• Tri-State Community Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Laughlin, NV
  • NPI 1174125892
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1316084312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17330 BEAR VALLEY RD",
            "address_2": "SUITE A 106",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957741",
            "telephone_number": "760-245-9999",
            "fax_number": "760-245-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17330 BEAR VALLEY RD",
            "address_2": "SUITE A 106",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923957741",
            "telephone_number": "760-245-9999",
            "fax_number": "760-245-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOM",
        "first_name": "SAM",
        "name_prefix": "Mr.",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "559654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adilene Solis
• Vivian Juliann Solis I
• Haile Solmes
• Rebecca Jo Solorzano
• Victor Solorzano
• Melissa Somarriba
• Rashmi Priya Somu, MBBS, MD
• Son Q Nguyen Optometry, Inc.
• Hyun Kyung Song
• Nualhathai Priscilla Songsanand, MD

• Family Nurse Practitioner in Victorville, CA
• Providers in Victorville, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.