Sombath Senethong, M.D.

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

208D00000X Issued in CA

Legal business name

SOMBATH SENETHONG, M.D.

Practice address

1748 Euclid Ave
San Diego, CA 92105-5415

Phone

(619) 262-8626

Fax

(619) 262-8620

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sombath Senethong, M.D.

Title

Director

Phone

(619) 262-8626

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1972794089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1748 EUCLID AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055415",
            "telephone_number": "619-262-8626",
            "fax_number": "619-262-8620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1748 EUCLID AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921055415",
            "telephone_number": "619-262-8626",
            "fax_number": "619-262-8620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMBATH SENETHONG, M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "SENETHONG",
        "authorized_official_first_name": "SOMBATH",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "619-262-8626",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "CA",
            "license": "208D00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Somagen Healthcare Inc
• Jaspreet Somal
• Somali Family Service of San Diego, Inc.
• Shaan Nikhil Somani, MD
• Vivek Somasundaram
• Serena Somers, L.C.S.W.
• Benjamin Sommer, DO
• Lacie Sommer, REGISTERED NURSE
• Katherine Leigh Sommers, MD
• Sarah B Sommers, LCSW-C, LCSW

• All providers in San Diego, CA
• Health Maintenance Organization in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.