VANNARITH SO MD A PROFESSIONAL CORPORATION
NPI 1386977353
Internal Medicine in Long Beach, CA

Q: What is Vannarith So MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since September 09, 2009

1045 ATLANTIC AVE, SUITE 902, LONG BEACH, CA 90813(562) 437-0996(562) 495-4631 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Vannarith So Md A Professional Corporation NPPES

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

VANNARITH SO MD A PROFESSIONAL CORPORATION (NPI 1386977353) is a healthcare organization registered as an internal medicine in Long Beach, California and active in the NPI registry since September 2009. The organization lists Vannarith So, Owner, as its authorized official.

NPPES Registry Identity

NPI1386977353

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NameVANNARITH SO MD A PROFESSIONAL CORPORATION

Location Address1045 ATLANTIC AVE, SUITE 902Long Beach, CA 90813-3408

Mailing Address1045 Atlantic Ave, Suite 902Long Beach, CA 90813-3408

Phone(562) 437-0996

Fax(562) 495-4631

Organization SubpartNo

Authorized OfficialVannarith SoOwner · (562) 437-0996

Enumeration DateSeptember 9, 2009

✔ NPI 1386977353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1045 ATLANTIC AVE, Long Beach, CA 90813

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Vannarith So Md A Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 2 clinicians reassign Medicare billing to Vannarith So MD A Professional Corporation, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Belita Roberts, RN, FNP

Nurse Practitioner

NPI 1417624123

1269 E ANAHEIM ST
Long Beach, CA 90813

(562) 841-3938

✔ PECOS✔ Accepts Medicare0.6 mi

Vannarith So, MD, MPH

Internal Medicine

NPI 1659416584

1777 N BELLFLOWER BLVD SUITE 101
Long Beach, CA 90815

(562) 986-6138

✔ PECOS✔ Accepts Medicare3.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Vannarith So MD A Professional Corporation's NPI number?

The NPI number for Vannarith So MD A Professional Corporation is 1386977353. It was assigned to this organization in the NPPES registry on September 9, 2009.

Where is Vannarith So MD A Professional Corporation located?

Vannarith So MD A Professional Corporation is located at 1045 Atlantic Ave Suite 902, Long Beach, CA 90813. The listed phone number is (562) 437-0996.

What is Vannarith So MD A Professional Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vannarith So MD A Professional Corporation enrolled in Medicare?

Yes. Vannarith So MD A Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Vannarith So MD A Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Vannarith So MD A Professional Corporation, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Vannarith So MD A Professional Corporation was last updated on September 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.