Active NPI
Christine So, MSN, APRN, BSN
- Nurse Practitioner
- San Jose, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95013464
- Practice address
- 2470 Alvin Ave Ste 60
San Jose, CA 95121-1664 - Phone
- (408) 287-7526
- NPI assigned
- Jan 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95013464 | CA | Primary |
| Registered Nurse | 163W00000X | 95091809 | CA |
Addresses
Primary practice location
2470 Alvin Ave Ste 60
San Jose, CA 95121-1664
Mailing address
1691 The Alameda
San Jose, CA 95126-2203
Phone (408) 287-7526
Other practice location 1
2105 Forest Ave
San Jose, CA 95128-1471
Phone (408) 947-2500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing, Master of Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95091809 | CA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Planned Parenthood Mar Monte, Inc. | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients | |
| Planned Parenthood Mar Monte, Inc | Current | Accepting new patients |
Locations
3131 Alum Rock Ave
San Jose, CA 95127
Phone (408) 729-7600
2470 Alvin Ave
Ste 60
San Jose, CA 95121
Phone (408) 274-7100
1691 The Alameda
San Jose, CA 95126
Phone (408) 287-7526
1694 Tully Rd
Ste 40
San Jose, CA 95122
Phone (408) 795-3600
1119 Pacific Ave
Ste 200
Santa Cruz, CA 95060
Phone (831) 426-5550
Interoperability endpoints
- christine.sonp.p1@direct.ppmarmonte.nextgenshare.com
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Health Clinic/Center
- Stockton, CA
- NPI 1174579957
-
- Community Health Clinic/Center
- San Jose, CA
- NPI 1043263189
-
dba Mar Monte Community Clinic
- Community Health Clinic/Center
- San Jose, CA
- NPI 1598536971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592784000000",
"number": "1831729854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1691 THE ALAMEDA",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951262203",
"telephone_number": "408-287-7526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2470 ALVIN AVE STE 60",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951211664",
"telephone_number": "408-287-7526"
}
],
"practiceLocations": [
{
"address_1": "2105 Forest Ave",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951281471",
"country_code": "US",
"telephone_number": "408-947-2500",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SO",
"first_name": "CHRISTINE",
"credential": "MSN, APRN, BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-17",
"last_updated": "2020-06-22",
"certification_date": "2020-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95013464",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "95091809",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.