SOURIHNA KHOUNPHICHANE
NPI 1427641513
Nurse Practitioner - Family in Sherman Oaks, CA

Q: What is Sourihna Khounphichane's NPI number?

The NPI number for Sourihna Khounphichane is 1427641513. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Q: What is Sourihna Khounphichane's specialty?

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

Active since February 19, 2021PECOS Enrolled

4912 KESTER AVE APT 106, SHERMAN OAKS, CA 91403(847) 271-3145 Get Directions Write a Review

NPPES record last updated: February 19, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Sourihna Khounphichane NPPES

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

SOURIHNA KHOUNPHICHANE (NPI 1427641513) is an individual family provider in Sherman Oaks, California, licensed in California (95014199) and active in the NPI registry since February 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1427641513

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameSOURIHNA KHOUNPHICHANE

Location Address4912 KESTER AVE APT 106Sherman Oaks, CA 91403-1690

Mailing Address4912 Kester Ave Apt 106Sherman Oaks, CA 91403-1690 · (847) 271-3145

Phone(847) 271-3145

Sole ProprietorYes

Medical School CMSOtherGraduated 2017

Enumeration DateFebruary 19, 2021

NPPES CertifiedFebruary 19, 2021

✔ NPI 1427641513 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 · 95014199

4912 KESTER AVE APT 106, Sherman Oaks, CA 91403

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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)

Sourihna Khounphichane is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092114306

PECOS Enrollment IDI20210518002462

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.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

428 services119 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

This procedure involves the removal of skin and tissue, typically due to disease, injury, or abnormal growth. Each session removes an area of 20.0 square cm or less. It's performed by a trained professional and may require multiple sessions for larger areas.

369 services35 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.

318 services83 patients

Removal of skin and tissue, 20.0 sq cm or less 11042

300 services74 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

256 services55 patients

Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348

An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.

193 services51 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

187 services44 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

123 services20 patients

Removal of skin and tissue, each additional 20.0 sq cm or less 11045

119 services18 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

111 services111 patients

Removal of inflamed or infected skin, up to 10% of body surface 11000

This procedure involves the surgical removal of inflamed or infected skin covering up to 10% of your body surface. It's done to prevent the spread of infection and promote healing. Local or general anesthesia is used to ensure comfort during the process.

74 services20 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

33 services33 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

23 services23 patients

Residence visit for new patient with low level of medical decision making, per day, if using time, at least 30 minutes 99342

A new patient home visit is a 30-minute appointment where a healthcare provider comes to your home to assess your health needs. This can include discussing your medical history, current conditions, and treatment plans. It's a convenient way to receive care in your own environment.

15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91403 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.

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 Sourihna Khounphichane's NPI number?

The NPI number for Sourihna Khounphichane is 1427641513. It was assigned to this individual provider in the NPPES registry on February 19, 2021.

Where is Sourihna Khounphichane located?

Sourihna Khounphichane practices at 4912 Kester Ave Apt 106, Sherman Oaks, CA 91403. The listed phone number is (847) 271-3145.

What is Sourihna Khounphichane's specialty?

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

Is Sourihna Khounphichane enrolled in Medicare?

Yes. Sourihna Khounphichane is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sourihna Khounphichane was last updated on February 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.