Individual provider Active NPI

Nualhathai Priscilla Songsanand, MD

  • Ophthalmology Physician
  • Victorville, CA
National Provider Identifier
1497752778
Registry record updated Jul 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A81254 Issued in CA
Practice address
14075 Hesperia Rd
Ste 101
Victorville, CA 92395-4500
Phone
(760) 245-3230
Fax
(760) 245-7215
NPI assigned
Jul 1, 2005
Last updated
Jul 27, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A81254 CA Primary

Addresses

Primary practice location

14075 Hesperia Rd
Ste 101
Victorville, CA 92395-4500

Mailing address

16197 Crown Valley Dr
Apple Valley, CA 92307-1210
Phone (760) 245-3230

Other names 1

  • Priscilla Songsanand Professional name

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
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
81254CAMDPharmacist
A81254CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dignity Health Past Accepting new patients
Pacific Coast Eye Specialists Ophthalmology PastSince May 25, 2012 Accepting new patients
St. Mary Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Corwin Medical Group Inc Ipa Past Accepting new patients
Victor Valley Community Hospital Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343347200000",
    "number": "1497752778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16197 CROWN VALLEY DR",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923071210",
            "telephone_number": "760-245-3230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14075 HESPERIA RD",
            "address_2": "STE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923954500",
            "telephone_number": "760-245-3230",
            "fax_number": "760-245-7215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONGSANAND",
        "first_name": "NUALHATHAI",
        "middle_name": "PRISCILLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-01",
        "last_updated": "2012-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A81254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PRISCILLA",
            "last_name": "SONGSANAND",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2012; 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.