Somkiet Pajong, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6268 Issued in CA

Practice address

9089 Basline Road
Suite 100
Rancho Cucamonga, CA 91730

Phone

(909) 483-0505

Fax

(909) 483-0508

NPI assigned

Aug 26, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Sam Pajong Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942318340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9089 BASLINE ROAD",
            "address_2": "SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-483-0505",
            "fax_number": "909-483-0508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9089 BASLINE ROAD",
            "address_2": "SUITE 100",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "91730",
            "telephone_number": "909-483-0505",
            "fax_number": "909-483-0508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAJONG",
        "first_name": "SOMKIET",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAM",
            "last_name": "PAJONG",
            "prefix": "MR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Servarrio Page
• Elizabeth Suwartono Pagler, M.D.
• Tovi Paguio
• Sherlyn Ann Salva Pagulayan, PMHNP
• Jack Pai, DDS
• Jua Eunjone Pak, D.C.
• Pakravan, Manavi & Cohen Dental Corporation (West Coast Dental Group of Rancho Cucamonga)
• Kelsey Palacios
• Yunuen Palestino
• Jan Palma

• Family Medicine Physician in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.