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MR. SAM SOM FNP-C
NPI 1316084312
Nurse Practitioner - Family in Victorville, CA

Active since January 31, 2007PECOS Enrolled
17330 BEAR VALLEY RD, SUITE A 106, VICTORVILLE, CA 92395(760) 245-9999(760) 245-8855 Get Directions Write a Review

NPPES record last updated: July 16, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Sam Som Fnp-c NPPES

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

MR. SAM SOM FNP-C (NPI 1316084312) is an individual family provider in Victorville, California, licensed in California (559654) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316084312
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SAM SOMCredential: FNP-C
Location Address17330 BEAR VALLEY RD, SUITE A 106Victorville, CA 92395-7741
Mailing Address17330 Bear Valley Rd, Suite A 106Victorville, CA 92395-7741 · (760) 245-9999 · Fax (760) 245-8855
Phone(760) 245-9999
Fax(760) 245-8855
Sole ProprietorYes
Enumeration DateJanuary 31, 2007
Last NPPES UpdateJuly 16, 2014
✔ NPI 1316084312 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 · 559654
17330 BEAR VALLEY RD, Victorville, CA 92395
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sam Som Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92395 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$26.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

GABRIEL L STINE DC
Chiropractor
17330 BEAR VALLEY RD, STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
JACKLYN GARCIA DC
Chiropractor
17330 BEAR VALLEY RD, STE 105
VICTORVILLE, CA 92395
San Bernardino County (780) 245-8182
KALEB BRYANT D.C.
Chiropractor
17330 BEAR VALLEY RD, STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
KALILAH HILLSTOCK
Behavior Technician
17330 BEAR VALLEY RD
VICTORVILLE, CA 92395
San Bernardino County (760) 503-6100
MARK HERRERA D.C.
Chiropractor
17330 BEAR VALLEY RD, STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
RAYCHELLE DEERMER-KEMPLE DC
Chiropractor
17330 BEAR VALLEY RD, STE 105
VICTORVILLE, CA 92395
San Bernardino County (760) 245-8182
SAMANTHA JO CHAINEY
Behavior Technician
17330 BEAR VALLEY RD
VICTORVILLE, CA 92395
San Bernardino County (760) 503-6100
VICTOR F. SULIT MD, MPH
Preventive Medicine (Occupational Medicine)
17330 BEAR VALLEY RD, SUITE 106 A
VICTORVILLE, CA 92395
San Bernardino County (760) 962-1450

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 Sam Som's NPI number?

The NPI number for Sam Som is 1316084312. It was assigned to this individual provider in the NPPES registry on January 31, 2007.

Where is Sam Som located?

Sam Som practices at 17330 Bear Valley Rd Suite A 106, Victorville, CA 92395. The listed phone number is (760) 245-9999.

What is Sam Som's specialty?

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

Is Sam Som enrolled in Medicare?

Yes. Sam Som is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sam Som was last updated on July 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.