1. Home
  2. Directory
  3. California
  4. Garden Grove
  5. Nurse Practitioner
  6. NPI Profile

MISS SEKBOPPA SOR FNP-C
NPI 1376005934
Nurse Practitioner - Primary Care in Garden Grove, CA

Active since April 03, 2019PECOS Enrolled
84.41/100
CMS Quality Rating
AN LANH FREE CLINIC, 10861 ACACIA PKWY., GARDEN GROVE, CA 92840(714) 633-4600 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Miss Sekboppa Sor Fnp-c NPPES

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

MISS SEKBOPPA SOR FNP-C (NPI 1376005934) is an individual primary care provider in Garden Grove, California, licensed in California (95011130) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376005934
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameMISS SEKBOPPA SORCredential: FNP-C
Location AddressAN LANH FREE CLINIC, 10861 ACACIA PKWY.Garden Grove, CA 92840
Mailing Address3450 Sawtelle Blvd., Apt. 349Los Angeles, CA 90066 · (401) 286-4029
Phone(714) 633-4600
Sole ProprietorNo
Enumeration DateApril 3, 2019
✔ NPI 1376005934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 95011130
AN LANH FREE CLINIC, Garden Grove, CA 92840
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Sekboppa Sor 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 92840 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality90.67
Promoting Interoperability100
Improvement Activities40
Cost57.36

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 Sekboppa Sor's NPI number?

The NPI number for Sekboppa Sor is 1376005934. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Sekboppa Sor located?

Sekboppa Sor practices at An Lanh Free Clinic 10861 Acacia Pkwy., Garden Grove, CA 92840. The listed phone number is (714) 633-4600.

What is Sekboppa Sor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Sekboppa Sor enrolled in Medicare?

Yes. Sekboppa Sor is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sekboppa Sor was last updated on April 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.