Individual provider · Type 1 NPI

Sophia Tanneberg

Community Health Worker · Hesperia, CA

NPI number 1609786417 Active

Practice location

17508 Hercules St., Suite B6
Hesperia, CA 92345

Call (760) 488-7971 Map

Fax (442) 201-0247

Mailing address

PO Box 401096
Hesperia, CA 92340-1096

Specialties and licenses

TaxonomyCodeLicense
Community Health Worker Primary 172V00000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

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About NPI 1609786417

Sophia Tanneberg's National Provider Identifier is 1609786417, issued on Sep 11, 2026. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Hesperia, CA. The record was last updated on Sep 24, 2026.