GRACE T SOMOSO
NPI 1124857602
Registered Nurse - Psychiatric/Mental Health in Loma Linda, CA

Active since July 31, 2024PECOS EnrolledAccepts Medicare Assignment
11201 BENTON ST, LOMA LINDA, CA 92357(909) 825-7084 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace T Somoso NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GRACE T SOMOSO (NPI 1124857602) is an individual psychiatric/mental health provider in Loma Linda, California, licensed in California (95031410) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124857602
Entity TypeIndividualFemale
Primary Taxonomy163WP0808X
Provider Legal NameGRACE T SOMOSO
Location Address11201 BENTON STLoma Linda, CA 92357-1000
Mailing Address26023 Mission RdLoma Linda, CA 92354-6506 · (909) 362-9437
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 31, 2024
Last NPPES UpdateAugust 1, 2024
NPPES CertifiedAugust 1, 2024
✔ NPI 1124857602 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRegistered Nurse · Psychiatric/Mental HealthNursing Service Providers
Taxonomy Code163WP0808X
License✔ Licensed in CA · 95031410
11201 BENTON ST, Loma Linda, CA 92357

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Grace T Somoso is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5193235463
PECOS Enrollment IDI20250606001758
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Grace Somoso reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatry
1030 NEVADA ST STE 101
Redlands, CA 92374
  • Reassigned Medicare billing, California enrollment
  • 15 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Radiology (Diagnostic Radiology)
11201 BENTON ST, VA LOMA LINDA HEALTHCARE SYSTEM - DEPT OF RADIOLOGY
LOMA LINDA, CA 92357
Social Worker (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
Internal Medicine
11201 BENTON ST
LOMA LINDA, CA 92357
Respiratory Therapist, Registered (Pulmonary Diagnostics)
11201 BENTON ST
LOMA LINDA, CA 92357
Counselor (Mental Health)
11201 BENTON ST
LOMA LINDA, CA 92357
Psychologist (Clinical)
11201 BENTON ST
LOMA LINDA, CA 92357
Nurse Practitioner (Family)
11201 BENTON ST
LOMA LINDA, CA 92357
Registered Nurse (Medical-Surgical)
11201 BENTON ST
LOMA LINDA, CA 92357

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Grace Somoso's NPI number?

The NPI number for Grace Somoso is 1124857602. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Grace Somoso located?

Grace Somoso practices at 11201 Benton St, Loma Linda, CA 92357. The listed phone number is (909) 825-7084.

What is Grace Somoso's specialty?

The primary specialty registered for this NPI is Registered Nurse, specializing in Psychiatric/Mental Health, with taxonomy code 163WP0808X.

Is Grace Somoso enrolled in Medicare?

Yes. Grace Somoso is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Grace Somoso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Somoso reassigns Medicare benefits to David Desai MD Inc (Redlands, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Grace Somoso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Grace Somoso was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.