Active NPI
Sonal Khattri, MD
- Pediatrics Physician
- Poway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A105678
- Practice address
- 15611 Pomerado Rd
Suite 400
Poway, CA 92064-2437 - Phone
- (858) 675-3170
- Fax
- (858) 675-0518
- NPI assigned
- Jan 20, 2006
- Last updated
- Sep 8, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A105678 | CA | Primary |
Addresses
Primary practice location
15611 Pomerado Rd
Suite 400
Poway, CA 92064-2437
Mailing address
PO Box 28199
San Diego, CA 92198-0199
Phone (858) 675-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A105678 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105678 | CA | MD | Dentist |
| A105678 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Rees-Stealy Medical Group, Inc | Current | Accepting new patients | |
| Sharp Rees-Stealy Medical Group, Inc | Pediatrics | Current | Accepting new patients |
| Arch Health Partners | Current | Accepting new patients | |
| Arch Health Partners, Inc | Pediatrics | Current | Accepting new patients |
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Franciscan Health Crown Point | Past | Accepting new patients | |
| Franciscan Health Crown Point | Past | Accepting new patients | |
| Palomar Health | Past | Accepting new patients |
Locations
15611 Pomerado Rd
Ste 400
Poway, CA 92064
Phone (858) 613-8900
10243 Genetic Center Dr
San Diego, CA 92121
Phone (858) 499-2704
16899 W Bernardo Dr
San Diego, CA 92127
Phone (858) 499-2705
2020 Genesee Ave
San Diego, CA 92123
Phone (619) 268-9500
Interoperability endpoints
- sonal.khattri.p1@direct.arch.nextgenshare.com
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Palomar Health Medical Group
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
Pediatrics
-
- Internal Medicine Physician
- San Diego, CA
- NPI 1285616177
Pediatrics
-
dba Palomar Health Medical Group
- Obstetrics & Gynecology Physician
- Escondido, CA
- NPI 1518217330
-
- Optometrist
- San Diego, CA
- NPI 1063172351
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
-
dba Sharp Allison deRose Rehabilitation Center
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
-
dba Franciscan Outpatient Pharmacy Crown Point
- Community/Retail Pharmacy
- Crown Point, IN
- NPI 1184250623
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137715200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1441670400000",
"number": "1013997303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 28199",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921980199",
"telephone_number": "858-675-3100",
"fax_number": "858-618-1523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15611 POMERADO RD",
"address_2": "SUITE 400",
"city": "POWAY",
"state": "CA",
"postal_code": "920642437",
"telephone_number": "858-675-3170",
"fax_number": "858-675-0518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHATTRI",
"first_name": "SONAL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-20",
"last_updated": "2015-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A105678",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "A105678",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.