Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bobby Sinsongserm

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1902466659

Bobby Sinsongserm is an Optometry in Sacaton, Arizona. Qualified in 2019, 7 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

483 W Seed Farm Rd
Sacaton, AZ 85147-5000
Phone: (520) 562-3321
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 13724 El Espejo Rd, La Mirada, CA 90638-3718 — (562) 447-6307

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence OPT-002365 (AZ)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1902466659
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 15, 2019
Last updated in NPPESDecember 7, 2021
Certification dateDecember 7, 2021
Mailing address13724 El Espejo Rd, La Mirada, CA 90638-3718

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Sacaton