Individual provider Active NPI

Sokkunthair Kem, NP

  • Family Nurse Practitioner
  • Sacramento, CA
National Provider Identifier
1992141840
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21844 Issued in CA
Practice address
1207 V St
Sacramento, CA 95818-1435
Phone
(559) 859-4597
NPI assigned
May 20, 2013
Last updated
May 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21844 CA Primary

Addresses

Primary practice location

1207 V St
Sacramento, CA 95818-1435

Mailing address

1207 V St
Sacramento, CA 95818-1435
Phone (559) 859-4597

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
I20130805000308 CA Practitioner - Nurse Practitioner 9032351085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the Univ of CaGroup PAC ID 3375456619, 1,571 clinicians

Practice addresses (Care Compare)

2221 Stockton Blvd
Sacramento, CA 95817-1418
Phone (916) 734-3761

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.15 of 100Reported as group
Quality
64.8
Promoting interoperability
100
Improvement activities
40
Cost
68.65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
21844CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Oct 24, 2017 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Cep America - California CurrentSince Aug 15, 2013 Accepting new patients
Regents of the Univ of Ca CurrentSince Oct 24, 2017 Accepting new patients
Cep America - California Current Accepting new patients
Cep America-California CurrentSince Aug 15, 2013 Accepting new patients
Acute Care Surgery Medical Group, Inc. CurrentSince Apr 1, 2016 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients
Acute Care Surgery Medical Group, Inc. PastSince Jul 2, 2023 Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

807 Illinois Ave
Los Banos, CA 93635
Phone (209) 710-8695

726 4th St
Marysville, CA 95901
Phone (530) 491-9491

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

27700 Medical Center Rd
#1182
Mission Viejo, CA 92691

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313

2221 Stockton Blvd
Ste E
Sacramento, CA 95817
Phone (916) 734-2680

4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700

2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

1800 Spring Ridge Dr
Susanville, CA 96130
Phone (530) 252-2225

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1369008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1992141840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 V ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181435",
            "telephone_number": "559-859-4597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 V ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958181435",
            "telephone_number": "559-859-4597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEM",
        "first_name": "SOKKUNTHAIR",
        "name_prefix": "Miss",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-20",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "21844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.