Active NPI
Soheil Daniel Gideon
- Hospitalist Physician
- Valley Village, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A184590
- Practice address
- 12629 Riverside Dr Apt 337
Valley Village, CA 91607-3490 - Phone
- (818) 625-9439
- NPI assigned
- Mar 20, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A184590 | CA | |
| Hospitalist Physician | 208M00000X | A184590 | CA | Primary |
Addresses
Primary practice location
12629 Riverside Dr Apt 337
Valley Village, CA 91607-3490
Mailing address
12629 Riverside Dr Apt 337
Valley Village, CA 91607-3490
Phone (818) 625-9439
Other practice location 1
18321 Clark St
Tarzana, CA 91356-3501
Phone (310) 423-5252
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18321 Clark St
Tarzana, CA 91356-3501
Phone (818) 881-0800
Hospital & facility affiliations
- Providence Cedars Sinai Tarzana Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Fountain Valley Group Services PC | Hospitalist | Current | Accepting new patients |
| Fountain Valley Group Services PC | Past | Accepting new patients |
Locations
47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
18321 Clark St
Tarzana, CA 91356
Phone (310) 423-6744
Interoperability endpoints
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
Organizations & group practices 4
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.
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Hospitalist Physician
- Indio, CA
- NPI 1013310309
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1043826720
-
- Critical Care Medicine (Internal Medicine) Physician
- Indio, CA
- NPI 1194670349
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tarzana, CA
- NPI 1821250762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731024000000",
"number": "1144780719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12629 RIVERSIDE DR APT 337",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916073490",
"telephone_number": "818-625-9439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12629 RIVERSIDE DR APT 337",
"city": "VALLEY VILLAGE",
"state": "CA",
"postal_code": "916073490",
"telephone_number": "818-625-9439"
}
],
"practiceLocations": [
{
"address_1": "18321 Clark St",
"address_purpose": "LOCATION",
"city": "Tarzana",
"state": "CA",
"postal_code": "913563501",
"country_code": "US",
"telephone_number": "310-423-5252",
"fax_number": "310-423-8441",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GIDEON",
"first_name": "SOHEIL",
"middle_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-20",
"last_updated": "2024-11-08",
"certification_date": "2024-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A184590",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A184590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Valley Village, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.