Individual provider Active NPI

Chenpang Soong, M.D., PH.D.

  • Interventional Cardiology Physician
  • Santa Monica, CA
National Provider Identifier
1134549009
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A176799 Issued in CA
Practice address
2001 Santa Monica Blvd Ste 280W
Santa Monica, CA 90404-2172
Phone
(310) 829-7678
Fax
(310) 829-6889
NPI assigned
Apr 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD460574 PA
Student in an Organized Health Care Education/Training Program 390200000X
Interventional Cardiology Physician 207RI0011X A176799 CA Primary

Addresses

Primary practice location

2001 Santa Monica Blvd Ste 280W
Santa Monica, CA 90404-2172

Mailing address

88 Arsenal Yards Blvd Apt 505
Watertown, MA 02472-5046
Phone (205) 482-8611

Other practice location 1

2601 Holme Ave
Philadelphia, PA 19152-2007
Phone (215) 335-6562

Other practice location 2

263 Farmington Ave
Farmington, CT 06030-1235
Phone (860) 679-2562

Other practice location 3

55 Fruit St
Boston, MA 02114-2621
Phone (205) 482-8611

Other names 1

  • John Soong Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220504002128 CA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284952276 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
University of Connecticut School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians

Practice addresses (Care Compare)

2001 Santa Monica Blvd
Suite 280W
Santa Monica, CA 90404-2172
Phone (310) 829-7678

Hospital & facility affiliations

  • Saint John'S Health Center Hospital, Santa Monica, CA, CCN 050290
  • Cedars-Sinai Medical Center Hospital, Los Angeles, CA, CCN 050625

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
96.07
Promoting interoperability
100
Improvement activities
40
Cost
71.98

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD460574PAMDInternal Medicine Physician
A176799CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Saint Johns Medical Foundation Internal Medicine CurrentSince May 28, 2022 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 1, 2025 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Jan 1, 2025 Accepting new patients
North Shore Medical Center, Inc. Past Accepting new patients
Providence Saint John'S Health Center Past Accepting new patients
Saint John'S Health Clinic Past Accepting new patients

Locations

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

2001 Santa Monica Blvd
Ste 280W
Santa Monica, CA 90404
Phone (310) 829-7678

2020 Santa Monica Blvd
Fl 3
Santa Monica, CA 90404
Phone (310) 582-7313

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2001 Santa Monica Blvd
Ste 360W
Santa Monica, CA 90404
Phone (310) 453-1871

2336 Santa Monica Blvd
Ste 204
Santa Monica, CA 90404
Phone (310) 453-4477

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: csoong514188@direct.cshs.org

Organizations & group practices 6

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1134549009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "88 ARSENAL YARDS BLVD APT 505",
            "city": "WATERTOWN",
            "state": "MA",
            "postal_code": "024725046",
            "telephone_number": "205-482-8611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA MONICA BLVD STE 280W",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042172",
            "telephone_number": "310-829-7678",
            "fax_number": "310-829-6889"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2601 Holme Ave",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191522007",
            "country_code": "US",
            "telephone_number": "215-335-6562",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "263 Farmington Ave",
            "address_purpose": "LOCATION",
            "city": "Farmington",
            "state": "CT",
            "postal_code": "060301235",
            "country_code": "US",
            "telephone_number": "860-679-2562",
            "fax_number": "860-679-4613",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "205-482-8611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOONG",
        "first_name": "CHENPANG",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD460574",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A176799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "SOONG",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.