Active NPI
Simran Sougu
- Registered Nurse
- Riverside, CA
National Provider Identifier
1417734138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 95323990
- Practice address
- 11770 Connell Rd
Riverside, CA 92505-3229 - Phone
- (951) 539-7983
- NPI assigned
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 95323990 | CA | Primary |
Addresses
Primary practice location
11770 Connell Rd
Riverside, CA 92505-3229
Mailing address
11770 Connell Rd
Riverside, CA 92505-3229
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95323990 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1417734138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11770 CONNELL RD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053229"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11770 CONNELL RD",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053229",
"telephone_number": "951-539-7983"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUGU",
"first_name": "SIMRAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95323990",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.