MRS. SANDRA SO
NPI 1184723306
Specialist in Chino, CA

Active since September 22, 2006
12584 CENTRAL AVE, CHINO, CA 91710(909) 287-1800 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Individual
  • Female
  • Specialist

About SANDRA SO

This page provides the complete NPI Profile along with additional information for Sandra So, a provider established in Chino, California with a medical specialization in Specialist. The healthcare provider is registered in the NPI registry with number 1184723306 assigned on September 2006. The practitioner's primary taxonomy code is 174400000X with license number A50856 (CA). The provider is registered as an individual and her NPI record was last updated 19 years ago.

NPI
1184723306 Verify this NPI
Provider Name
MRS. SANDRA SO
Gender
Female
Entity Type
Individual
Location Address
12584 CENTRAL AVE CHINO, CA 91710
Location Phone
(909) 287-1800
Mailing Address
12584 CENTRAL AVE CHINO, CA 91710
Is Sole Proprietor?
Yes
Enumeration Date
09-22-2006
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Specialist

Taxonomy Code
174400000X
Type
Other Service Providers
License No.
A50856
License State
CA
Taxonomy Description
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G04285MEDICARE UPIN (02)CA 
00A508560MEDICAID (05)CA 

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Nurse Practitioner
12584 CENTRAL AVE
CHINO, CA 91710
Nurse Practitioner
12584 CENTRAL AVE
CHINO, CA 91710

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1184723306, enumerated as an "individual" on September 22, 2006.

The provider is located at 12584 CENTRAL AVE CHINO, CA 91710 and the phone number is (909) 287-1800.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.