Charleyne Khamasi-Soomalan

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95063658 Issued in CA

Practice address

300 E 15TH St
Merced, CA 95341-6217

Phone

(209) 381-7879

Fax

(209) 725-3775

NPI assigned

May 6, 2016

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

Other identifiers 1

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": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462492800000",
    "number": "1780030965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2087",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953440087",
            "telephone_number": "209-381-7879",
            "fax_number": "209-725-3775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 E 15TH ST",
            "city": "MERCED",
            "state": "CA",
            "postal_code": "953416217",
            "telephone_number": "209-381-7879",
            "fax_number": "209-725-3775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMASI-SOOMALAN",
        "first_name": "CHARLEYNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2016-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95063658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1013030808",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Kennedy
• Kenneth R Grossman MD Inc
• Kevin Tran Merced Wellness Chiropractic Professional Corporation
• Christina Michelle Keys Gonzalez
• Aisha Khader, MD
• Abrar Jahin Khan, DMD
• Seema Jabeen Khan, DDS
• Suhail Khan, M.D.
• Anupam Khandelwal, MD
• Patricia Khodikian, CCC-SLP

• Registered Nurse in Merced, CA
• Providers in Merced, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2016; 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.