Vannarith So MD a Professional Corporation

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

VANNARITH SO MD A PROFESSIONAL CORPORATION

Practice address

1045 Atlantic Ave
Suite 902
Long Beach, CA 90813-3408

Phone

(562) 437-0996

Fax

(562) 495-4631

NPI assigned

Sep 9, 2009

Organization subpart

No

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

Authorized official

Name

Vannarith So, MDNPI 1659416584

Title

Owner

Phone

(562) 437-0996

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 2

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

• Vannarith So, MD, MPH

  • Internal Medicine Physician
  • Long Beach, CA
  • NPI 1659416584
  Medicare reassignment NPD Authorized official
• Belita Sofia Roberts, RN, FNP

  • Family Nurse Practitioner
  • Long Beach, CA
  • NPI 1417624123
  Medicare reassignment NPD

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1252454400000",
    "number": "1386977353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 902",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE",
            "address_2": "SUITE 902",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133408",
            "telephone_number": "562-437-0996",
            "fax_number": "562-495-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VANNARITH SO MD A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2009-09-09",
        "status": "A",
        "authorized_official_last_name": "SO",
        "authorized_official_first_name": "VANNARITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-437-0996",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bao Vang Ruiz, LPCC
• Panhia Vang
• Artit George Vanichsombat, M.D.
• Gregory T Vanley, M.D.
• Sireyrath Vann
• Kristin Vansteemburg
• Mary Kathryn Vanvalkenburgh, MFT
• Mary Elizabeth Vanvooren, DPM
• Vaprnet Anesthesiology Network
• Giovani Enrique Vaquerano, BCBA

• Internal Medicine Physician in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2009; 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.