Healthcare Provider Details

I. General information

NPI: 1265631188
Provider Name (Legal Business Name): SOMMER PEDROZA FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SOMMER ZERMENO RN, PHN

II. Dates (important events)

Enumeration Date: 07/11/2007
Last Update Date: 11/07/2023
Certification Date: 11/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15975 HARBOR BLVD
FOUNTAIN VALLEY CA
92708-1303
US

IV. Provider business mailing address

15975 HARBOR BLVD
FOUNTAIN VALLEY CA
92708-1303
US

V. Phone/Fax

Practice location:
  • Phone: 714-546-6575
  • Fax:
Mailing address:
  • Phone: 714-546-6575
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number622161
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code163WM0102X
TaxonomyMaternal Newborn Registered Nurse
License Number622161
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code163WS0200X
TaxonomySchool Registered Nurse
License Number622161
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number95022007
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number95022007
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License Number95022007
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: