Individual provider Active NPI

Christine So, MSN, APRN, BSN

  • Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1831729854
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95013464 Issued in CA
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

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200625001315 CA Practitioner - Nurse Practitioner 3274955935 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95091809CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood Mar Monte, Inc. CurrentSince Aug 5, 2020 Accepting new patients
Planned Parenthood Mar Monte, Inc CurrentSince Aug 5, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.