Individual provider Active NPI

Sokkim Ung, FNP-BC

  • Family Nurse Practitioner
  • Valley Center, CA
National Provider Identifier
1316713217
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95027232 Issued in CA
Practice address
50100 Golsh Rd
Valley Center, CA 92082-5338
Phone
(760) 749-1410
NPI assigned
Nov 30, 2023
Last updated
Mar 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95027232 CA Primary

Addresses

Primary practice location

50100 Golsh Rd
Valley Center, CA 92082-5338

Mailing address

2781 Overlook Point Dr
Escondido, CA 92029-2602
Phone (760) 672-8863

Other practice location 1

2907 Rainbow Glen Rd
Fallbrook, CA 92028-8456
Phone (760) 317-9992

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
I20240205000115 CA Order and Referring Only - Nurse Practitioner 5799128047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95027232CAMDFamily Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: sung713172@direct.ochin.org

NPI Registry JSON

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

{
    "created_epoch": "1701302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1316713217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2781 OVERLOOK POINT DR",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920292602",
            "telephone_number": "760-672-8863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50100 GOLSH RD",
            "city": "VALLEY CENTER",
            "state": "CA",
            "postal_code": "920825338",
            "telephone_number": "760-749-1410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2907 Rainbow Glen Rd",
            "address_purpose": "LOCATION",
            "city": "Fallbrook",
            "state": "CA",
            "postal_code": "920288456",
            "country_code": "US",
            "telephone_number": "760-317-9992",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UNG",
        "first_name": "SOKKIM",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-30",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95027232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valley Center, CA

Sources for this page

Verify at the official NPI Registry.