Active NPI
Somchit Souksumphan
- Rehabilitation Practitioner
- Oakland, CA
National Provider Identifier
1992448443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 11 Embarcadero W Ste 136
Oakland, CA 94607-4500 - Phone
- (510) 467-4250
- NPI assigned
- Apr 13, 2022
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
11 Embarcadero W Ste 136
Oakland, CA 94607-4500
Mailing address
11 Embarcadero W Ste 136
Oakland, CA 94607-4500
Phone (510) 467-4250
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quest Programs, Inc. | Past | Accepting new patients | |
| Quest Programs, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- San Rafael, CA
- NPI 1093345589
-
- Foster Care Agency
- Oakland, CA
- NPI 1659025211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776211200000",
"number": "1992448443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 EMBARCADERO W STE 136",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074500",
"telephone_number": "510-467-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 EMBARCADERO W STE 136",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946074500",
"telephone_number": "510-467-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUKSUMPHAN",
"first_name": "SOMCHIT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-04-13",
"last_updated": "2026-04-15",
"certification_date": "2026-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.