Active NPI
Sonam Ghoman, FNP
- Nurse Practitioner
- Hayward, CA
National Provider Identifier
1891264198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95029652
- Practice address
- 27446 Green Wood Rd
Hayward, CA 94544-1243 - Phone
- (510) 862-5326
- NPI assigned
- Nov 15, 2018
- Reactivated
- May 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95029652 | CA | Primary |
Addresses
Primary practice location
27446 Green Wood Rd
Hayward, CA 94544-1243
Mailing address
527 Laurel Ave
Hayward, CA 94541-3826
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240814004570 | CA | Order and Referring Only - Nurse Practitioner | 5395283857 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1542240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717977600000",
"number": "1891264198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "527 LAUREL AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945413826"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27446 GREEN WOOD RD",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945441243",
"telephone_number": "510-862-5326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHOMAN",
"first_name": "SONAM",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-15",
"last_updated": "2024-06-10",
"certification_date": "2024-06-10",
"deactivation_date": "2024-04-30",
"reactivation_date": "2024-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95029652",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.