SOMBOON KOM (NPI# 1902094089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902094089 |
| Entity Type | Individual |
| Full Name | SOMBOON KOM |
| Practice Address |
9010 Barbaresco Cir Stockton CA 95212-3819 |
| Practice Telephone | 2094776895 |
| Mailing Telephone | 2094776895 |
| Enumeration Date | 2007-10-14 |
| Last Update Date | 2007-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164X00000X | Licensed Vocational Nurse | VN208569 | CA | Nursing Service Providers |
| Street Address |
9010 BARBARESCO CIR |
| City | STOCKTON |
| State | CA |
| Zip Code | 95212-3819 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962046524 | Randy Sarnillo Morelos | Residential Treatment Facility, Physical Disabilities | 9152 Chianti Circle, Stockton, CA 95212 | 2019-11-06 |
| 1316494339 | Anka Behavioral Health, Inc. | Community/Behavioral Health | 9555 Priscilla Ln, Stockton, CA 95212 | 2016-09-07 |
| 1487058848 | Faith Isiderio | Physical Therapy Assistant | 5650 Patti Lynn Way, Stockton, CA 95212 | 2014-10-14 |
| 1124173448 | George T Lin | Dentist | 3459 Matterhorn Drive, Stockton, CA 95212 | 2007-01-25 |
| 1851395131 | Eric Chapa | Family Medicine | 5040 E Morada Ln, Stockton, CA 95212 | 2005-06-02 |
| 1114530250 | Heather Elizabeth Phillips | Licensed Psychiatric Technician | 4900 N Highway 99 Unit 68, Stockton, CA 95212-1007 | 2020-08-28 |
| 1396281507 | Kaitlend Tatiana Smith | Behavioral Analyst | 4899 Hildreth Ln, Stockton, CA 95212-1408 | 2017-01-11 |
| 1629489315 | Charles Vansicklen | Student in an Organized Health Care Education/Training Program | 8619 Emanuel Way, Stockton, CA 95212-1423 | 2014-05-15 |
| 1891853826 | Raleys | Pharmacy | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2006-12-04 |
| 1881006351 | Phillip H Shin | Pharmacist | 4255 E Morada Ln, Stockton, CA 95212-1600 | 2014-06-02 |
| Find all providers in zip 95212 | ||||
| Taxonomy Code | 164X00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Vocational Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. [An alternate term for licensed practical nurse arising from difference in occupational titles between states and post-high school training programs and institutions.] Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801412713 | Janelle Gamble | Licensed Vocational Nurse | 9289 Branstetter Pl, Stockton, CA 95209-1700 | 2020-06-17 |
| 1962027524 | Kariem Abdelwahed | Licensed Vocational Nurse | 1630 N. Edison St Stockton Ca, Stockton, CA 95204 | 2020-06-10 |
| 1871145730 | Maribel Lopez | Licensed Vocational Nurse | 97 W Adams St, Stockton, CA 95204-5332 | 2019-07-11 |
| 1134787476 | Sheila Tarroza Villanueva | Licensed Vocational Nurse | 1646 Sicily St, Stockton, CA 95206-6334 | 2019-06-02 |
| 1841767100 | Maria Brenda Garsuta | Licensed Vocational Nurse | 1947 N California St # B&c, Stockton, CA 95204-6029 | 2018-10-25 |
| 1104360379 | Carisa Morones | Licensed Vocational Nurse | 2856 Marietta Ct, Stockton, CA 95207-2306 | 2016-12-07 |
| 1144679333 | Jerri Khammanh | Licensed Vocational Nurse | 4965 Betty Mae Dr, Stockton, CA 95212-3040 | 2016-06-08 |
| 1932554573 | Linda Hing-moreyra | Licensed Vocational Nurse | 5531 Sandpiper Ct, Stockton, CA 95207-5417 | 2016-05-02 |
| 1982089413 | Sasha Russell | Licensed Vocational Nurse | 718 Beeler St, Stockton, CA 95204-3542 | 2015-07-27 |
| 1821470154 | Kalashai Porter | Licensed Vocational Nurse | 1639 Barcelona Ave, Stockton, CA 95209-2505 | 2015-06-23 |
| Find all providers in STOCKTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.