Individual provider Active NPI

Norma J Sonnentag, PA

  • Physician Assistant
  • Yuma, AZ
National Provider Identifier
1396841102
Registry record updated Mar 3, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2178 Issued in AZ
Practice address
1150 W 24TH St
Ste F
Yuma, AZ 85364-8368
Phone
(928) 782-3819
Fax
(928) 783-6623
NPI assigned
Sep 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 2178 AZ Primary

Addresses

Primary practice location

1150 W 24TH St
Ste F
Yuma, AZ 85364-8368

Mailing address

1150 W 24TH St
Ste F
Yuma, AZ 85364-8368
Phone (928) 782-3819

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2178AZMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Blue Horizons Clinic Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204502400000",
    "number": "1396841102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W 24TH ST",
            "address_2": "STE F",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648368",
            "telephone_number": "928-782-3819",
            "fax_number": "928-783-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W 24TH ST",
            "address_2": "STE F",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853648368",
            "telephone_number": "928-782-3819",
            "fax_number": "928-783-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNENTAG",
        "first_name": "NORMA",
        "middle_name": "J",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-16",
        "last_updated": "2008-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "2178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yuma, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.