Yan Manuel Somoza Jr., PHD

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY25253 Issued in NU

Practice address

1900 East Tahquitz Canyon Way
Suite A2
Palm Springs, CA 92262

Phone

(760) 320-0214

Fax

(949) 739-0217

NPI assigned

Sep 7, 2007

Last updated

Nov 6, 2024By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Undefined Non-Physician Type (Specify)

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Easy Speech Pathology IncGroup PAC ID 2163716457, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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.

• Easy Speech Pathology, Inc.

  dba Easy Speech Therapy Center

  • Multi-Specialty Clinic/Center
  • Palm Desert, CA
  • NPI 1124434261
  Medicare reassignment Care Compare group
• Somos Psychological Inc

  • Clinical Neuropsychologist
  • Palm Springs, CA
  • NPI 1467274571
  NPD Authorized official
• Easy Speech Therapy Center

  • Speech-Language Pathologist
  • Palm Desert, CA
  • NPI 1881167237
  NPD (past)

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1366637803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 EAST TAHQUITZ CANYON WAY",
            "address_2": "SUITE A2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-320-0214",
            "fax_number": "949-739-0217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 EAST TAHQUITZ CANYON WAY",
            "address_2": "SUITE A2",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "92262",
            "telephone_number": "760-320-0214",
            "fax_number": "949-739-0217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOMOZA",
        "first_name": "YAN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2024-11-06",
        "certification_date": "2021-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "NU",
            "license": "PSY25253",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY 25253",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Ann Snyder, LMFT
• Enrico C Sobong, M.D.
• Soe Maunglay MD Inc
• Margaret Sarah Soh, DDS
• Somos Psychological Inc
• Guadalupe Soqui, B.A
• Jonathan J Sorci, MD
• Sergio Jesus Soria-Rodriguez, RD
• Kate Erieca Soriano, MD
• Jairo Alex Sosa

• Psychologist in Palm Springs, CA
• Providers in Palm Springs, CA by specialty
• Psychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; 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.