Organization Active NPI

Somra Nursing Corporation

  • Psychiatric/Mental Health Nurse Practitioner
  • San Bernardino, CA
National Provider Identifier
1326855040
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
SOMRA NURSING CORPORATION
Practice address
1050 Kendall Dr Ste F
San Bernardino, CA 92407-4125
Phone
(909) 507-3947
Fax
(909) 829-0088
NPI assigned
Dec 16, 2024
Organization subpart
Yes
Parent organization
SOMRA PSYCHIATRIC CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

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

Authorized official

Name
Angela ChijiokeNPI 1346766839
Title
Owner
Phone
(888) 684-2779

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

1050 Kendall Dr Ste F
San Bernardino, CA 92407-4125

Mailing address

PO Box 4671
Rancho Cucamonga, CA 91729-4671
Phone (909) 507-3947

Other names 1

  • Somra Psychiatric Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250603003595 CA Part B Supplier - Clinic/Group Practice 7810406550 Receives reassigned benefits from 1 practitioner
Practice locations: San Bernardino, CA

National Provider Directory

National Provider Directory
Part of
Somra Nursing Corporation

Locations

1050 Kendall Dr
Ste F
San Bernardino, CA 92407
Phone (909) 352-6655

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1734307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1734566400000",
    "number": "1326855040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4671",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917294671",
            "telephone_number": "909-507-3947",
            "fax_number": "909-829-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 KENDALL DR STE F",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924074125",
            "telephone_number": "909-507-3947",
            "fax_number": "909-829-0088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMRA NURSING CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOMRA PSYCHIATRIC CARE",
        "enumeration_date": "2024-12-16",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A",
        "authorized_official_last_name": "CHIJIOKE",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-684-2779"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Somra Psychiatric Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.