MR. SAM SOM FNP-C
NPI 1316084312
Nurse Practitioner - Family in Victorville, CA
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
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Sam Som Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sam Som reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Apple Valley, CA 92307
- Reassigned Medicare billing, California enrollment
- 3 clinicians in this Medicare group
Adelanto, CA 92301
- Reassigned Medicare billing, California enrollment
- 73 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.
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.
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.
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.
VICTORVILLE, CA 92395
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.
Which organizations bill Medicare for Sam Som's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sam Som reassigns Medicare benefits to 2 organizations: High Desert Cardio-Pulmonary Medical Group Inc (Apple Valley, CA) and Tri-State Community Healthcare Center (Adelanto, CA). Each 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 Sam Som'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 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.
# Mr. Sam Som, FNP-C · NPI 1316084312
Family physician in Victorville, California. Individual provider, active in the CMS NPPES registry since January 31, 2007.
## Identity
- **NPI:** 1316084312 (Entity type: Individual)
- **Enumerated:** January 31, 2007
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 559654 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 17330 BEAR VALLEY RD, SUITE A 106, Victorville, CA 92395-7741
- **Phone:** (760) 245-9999 · **Fax:** (760) 245-8855
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): High Desert Cardio-Pulmonary Medical Group Inc (NPI 1043321185, Apple Valley, CA); Tri-State Community Healthcare Center (NPI 1508379017, Adelanto, CA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 16, 2014
---
Source: [NPI Profile](https://npiprofile.com/npi/1316084312) · Data from the CMS NPPES public registry.