Individual provider Active NPI

Archna Sood, MD

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1003980756
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A62831 Issued in CA
Practice address
12998 Hesperia Rd
Suite 101
Victorville, CA 92395-8316
Phone
(760) 955-2828
Fax
(760) 955-2488
NPI assigned
Nov 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A62831 CA Primary

Addresses

Primary practice location

12998 Hesperia Rd
Suite 101
Victorville, CA 92395-8316

Mailing address

12998 Hesperia Rd
Suite 101
Victorville, CA 92395-8316
Phone (760) 955-2828

Other identifiers 1

IdentifierTypeStateIssuer
A062831MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A62831CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Valley Medical Group, Inc Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Desert Valley Medical Group, Inc. Current Accepting new patients

Locations

16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222

12998 Hesperia Rd
Ste 101
Victorville, CA 92395
Phone (760) 780-4960

Interoperability endpoints

  • Direct secure messaging: archna.sood.p1@direct.dvmg.nextgenshare.com
  • Direct secure messaging: dvh-asood@primehealthcare.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1003980756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12998 HESPERIA RD",
            "address_2": "SUITE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958316",
            "telephone_number": "760-955-2828",
            "fax_number": "760-955-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12998 HESPERIA RD",
            "address_2": "SUITE 101",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923958316",
            "telephone_number": "760-955-2828",
            "fax_number": "760-955-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOD",
        "first_name": "ARCHNA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-17",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A62831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A062831",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.