Sophia Tannenberg

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

17508 Hercules St.
Suite B6
Hesperia, CA 92345

Phone

(760) 488-7971

Fax

(442) 201-0247

NPI assigned

Sep 11, 2026

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

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

{
    "created_epoch": "1789084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1609786417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401096",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "923401096",
            "telephone_number": "760-488-7971",
            "fax_number": "442-201-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17508 HERCULES ST.",
            "address_2": "SUITE B6",
            "city": "HESPERIA",
            "state": "CA",
            "postal_code": "92345",
            "telephone_number": "760-488-7971",
            "fax_number": "442-201-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBERG",
        "first_name": "SOPHIA",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-11",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sung M. Ahn, D.D.S., Inc.
• Stephen John Svastits, D.C.,C.C.S.P.,I.D.E.
• Makinzie Sweet
• Andrew Tadang, PHARMD
• Tetris Ylizah Apostol Tan, MD
• Suehong Tao, MD
• Amy Tapia
• Naomi Tapia
• Joseph Louis Tate, P.A.C.
• Cindy Tavares

• Community Health Worker in Hesperia, CA
• Providers in Hesperia, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.