Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christina Han-Souksavong MA, DPM

Individual provider Podiatrist · NPI 1295382489

Christina Han-Souksavong MA, DPM is a Podiatry in Merced, California. Qualified in 2020, 6 years ago. Practices with Provident Primary Care Inc, a 10-clinician group. Licensed in California.

Years since qualifying
6
Licensed in
CA
In the registry since
2019
What do these letters mean?
DPM — Doctor of Podiatric Medicine
A foot and ankle physician and surgeon.

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Practice location Address checks out

857 W Childs Ave
Merced, CA 95341-6862
Phone: (209) 722-4842
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Podiatrist (primary) Taxonomy 213E00000X · Licence 5934 (CA)

Record details

NPI number1295382489
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPM
Sole proprietorNo
NPI enumeratedAugust 22, 2019
Last updated in NPPESFebruary 5, 2025
Certification dateFebruary 5, 2025

Medicare enrollment

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

Medicare specialtyPODIATRY
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Provident Primary Care Inc — 10 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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