Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

SAMBO SOR
NPI 1275455313
Nurse Practitioner - Family in Long Beach, CA

Active since July 29, 2026
1229 E JACKSON ST, LONG BEACH, CA 90805(562) 240-1569 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sambo Sor NPPES

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

SAMBO SOR (NPI 1275455313) is an individual family provider in Long Beach, California, licensed in California (95040766) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1275455313
Entity TypeIndividual
Primary Taxonomy363LF0000X
Provider Legal NameSAMBO SOR
Location Address1229 E JACKSON STLong Beach, CA 90805-6124
Mailing Address1229 E Jackson StLong Beach, CA 90805-6124
Sole ProprietorYes
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1275455313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 95040766
1229 E JACKSON ST, Long Beach, CA 90805

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1229 E JACKSON ST
LONG BEACH, CA 90805

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 Sambo Sor's NPI number?

The NPI number for Sambo Sor is 1275455313. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Sambo Sor located?

Sambo Sor practices at 1229 E Jackson St, Long Beach, CA 90805. The listed phone number is (562) 240-1569.

What is Sambo Sor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Sambo Sor was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.