Sothavy N Pfaff, LVN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

VN-154292 Issued in CA

Practice address

1134 Bellena Avenue
Chula Vista, CA 91913

Phone

(619) 889-4069

NPI assigned

Jul 16, 2024

Sex

Female

Sole proprietor

Yes

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": "1721088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1730927609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 TRIDLE PLACE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91911",
            "telephone_number": "619-704-5451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1134 BELLENA AVENUE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "91913",
            "telephone_number": "619-889-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFAFF",
        "first_name": "SOTHAVY",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "LVN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "CA",
            "license": "VN-154292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel Peterson, MD
• Hailey Petitt
• Gina Petrarca, DDS
• Christine Elizabeth Petrella
• Christine Petrolati
• D. Young Pham, D.D.S.
• Jennifer Pham, MD
• Madonna Malinis Pham, FNP
• Nu Hoang Pham
• Emma Trung Tra Phan, PSY.D.

• Licensed Practical Nurse in Chula Vista, CA
• Providers in Chula Vista, CA by specialty
• Licensed Practical Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.