Active NPI
Soma Orthopedics Medical Group Inc
- Orthopaedic Surgery Physician
- San Francisco, CA
National Provider Identifier
1093903205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G65707
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dave Atkin, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100930029955 | CA | DME Supplier - Physician - General Surgery | 6901980952 | Practice locations: San Francisco, CA |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Orthopaedic Surgery Physician
- San Francisco, CA
- NPI 1174543474
-
- Physical Medicine & Rehabilitation Physician
- Redwood City, CA
- NPI 1801816921
-
- Interventional Pain Medicine Physician
- Columbus, GA
- NPI 1154348464
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
- Erica Solway
- Mmachi Som-Anya
- Soma & Psyche Functional Medicine
- Soma Anesthesia Medical Group Inc
- Soma Chiropractic & Wellness
- Soma Sport and Physio Eng Chiropractic Inc (Soma Sport and Physio)
- Salil Soman, MD
- Somatic Nature Physical Therapy and Wellness Corp (Somatic Nature Physical Therapy and Wellness)
- Alisson Diann Sombredero Sanchez, M.D
- Kathleen Louise Someah
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.