GRACE T SOMOSO – Psychiatric/Mental Health Registered Nurse, NPI 1124857602

GRACE T SOMOSO is a healthcare provider. based in Loma linda, California. specializing in NURSE PRACTITIONER. They hold a License No. 95031410 (CA). The NPI Number for GRACE T SOMOSO is 1124857602

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
GRACE T SOMOSO
NPI
1124857602
Phone
(909) 362-9437
Address
26023 MISSION RD
Enumeration Date
31 July 2024
Last Update Date
1 August 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9099665500
Graduation Year
2023 (3 years ago)
PAC ID
5193235463
Group Practice PAC ID
6204148794
Professional Enrollment ID
I20250606001758
Address ID
CA924045571SA2131XDRXX303
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for GRACE T SOMOSO

  • 26023 MISSION RD

    LOMA LINDA, CA 923546506

    Phone: (909) 362-9437

    Type: Mailing

  • 11201 BENTON ST

    LOMA LINDA, CA 923571000

    Phone: (909) 825-7084

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $909.

Total Amount is formed as General ($909) + Research ($0) + Ownership ($0) = $909.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($250).

Total Amount

$909

General + Research + Ownership

Payments

20

Total payment records

General Amount

$909

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250606001758INurse PractitionerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 92354)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6204148794View full group profile
NameSpecialtyState
Clinical PsychologistCA
Nurse PractitionerCA
P S Y C H I A T R YCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
P S Y C H I A T R YCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the standard ID for GRACE T SOMOSO in the U.S.?
In the U.S., GRACE T SOMOSO is identified by NPI 1124857602.
Is GRACE T SOMOSO currently accepting referrals based on NPI status?
Registry metadata lists GRACE T SOMOSO as active.
What services align with GRACE T SOMOSO's listing?
GRACE T SOMOSO's public classification highlights Psychiatric/Mental Health Registered Nurse. Clinical services aligned with this taxonomy classification.
What geographic area is tied to GRACE T SOMOSO?
GRACE T SOMOSO is associated with Loma Linda, California in the same public data insurers reference.
Can I export GRACE T SOMOSO's record?
You can download the official NPPES record; we summarize key fields for readability.

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