Mardy H Sos, LVN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

258565 Issued in CA

Practice address

550 N Flower St
Santa Ana, CA 92703-2361

Phone

(714) 592-5248

NPI assigned

Aug 31, 2018

Last updated

Aug 31, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1535673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1538641949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4037 E FERNWOOD AVE",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928695320",
            "telephone_number": "714-592-5248"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 N FLOWER ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927032361",
            "telephone_number": "714-592-5248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOS",
        "first_name": "MARDY",
        "middle_name": "H",
        "name_prefix": "Mrs.",
        "credential": "LVN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-31",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "258565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sornya Ponrartana MD Inc
• Sorour D.M.D, PC
• Shauntina L Sorrells
• Shea Sorrentino
• Ulysses Albert Sorto
• Alondra Sosa-Sandoval
• Diana Sosa
• Errol Sosa, M.D.
• Manuel Sosa
• Ashley Sotelo Arroyo, AMFT

• Licensed Vocational Nurse in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Licensed Vocational Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.