Organization Active NPI

Soma Orthopedics Medical Group Inc

  • Orthopaedic Surgery Physician
  • San Francisco, CA
National Provider Identifier
1093903205
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G65707 Issued in CA
Legal business name
SOMA ORTHOPEDICS MEDICAL GROUP INC
Practice address
1580 Valencia St
Suite 703
San Francisco, CA 94110-4423
Phone
(415) 642-0707
Fax
(415) 550-1566
NPI assigned
Oct 12, 2007
Last updated
Jul 29, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Authorized official

Name
Dave Atkin, MDNPI 1174543474
Title
President
Phone
(415) 550-1474

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A79161 CA
Orthopaedic Surgery Physician 207X00000X G65707 CA Primary
Physical Medicine & Rehabilitation Physician 208100000X A90204 CA

Addresses

Primary practice location

1580 Valencia St
Suite 703
San Francisco, CA 94110-4423

Mailing address

PO Box 1230
Suisun City, CA 94585-1230
Phone (415) 642-0707

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930029955 CA DME Supplier - Physician - General Surgery 6901980952 Practice locations: San Francisco, CA

National Provider Directory

National Provider Directory

Locations

1618 Sullivan Ave
Ste 525
Daly City, CA 94015

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1192147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1659052800000",
    "number": "1093903205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1230",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945851230",
            "telephone_number": "415-642-0707",
            "fax_number": "415-550-1566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 VALENCIA ST",
            "address_2": "SUITE 703",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941104423",
            "telephone_number": "415-642-0707",
            "fax_number": "415-550-1566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOMA ORTHOPEDICS MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-12",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A",
        "authorized_official_last_name": "ATKIN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "415-550-1474",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A79161",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G65707",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A90204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.