Active NPI
Sohan S Mahil M.D. Inc.
- Gastroenterology Physician
- Stockton, CA
National Provider Identifier
1154631554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- A37000
- Legal business name
- SOHAN S MAHIL M.D. INC.
- Practice address
- 2626 N California St Ste M
Stockton, CA 95204-5500 - Phone
- (209) 466-2235
- Fax
- (209) 466-6953
- NPI assigned
- Oct 19, 2010
- Last updated
- Oct 19, 2010
- 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
- Dr. Sohan S Mahil, M.D
- Title
- President
- Phone
- (209) 466-2235
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | A37000 | CA | Primary |
Addresses
Primary practice location
2626 N California St Ste M
Stockton, CA 95204-5500
Mailing address
2626 N California St Ste M
Stockton, CA 95204-5500
Phone (209) 466-2235
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A88405 | Medicaid | CA |
National Provider Directory
National Provider DirectoryLocations
2626 N California St
Ste M
Stockton, CA 95204
Phone (209) 466-2235
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287446400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1287446400000",
"number": "1154631554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2626 N CALIFORNIA ST STE M",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045500",
"telephone_number": "209-466-2235",
"fax_number": "209-466-6953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2626 N CALIFORNIA ST STE M",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952045500",
"telephone_number": "209-466-2235",
"fax_number": "209-466-6953"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOHAN S MAHIL M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-10-19",
"last_updated": "2010-10-19",
"status": "A",
"authorized_official_last_name": "MAHIL",
"authorized_official_first_name": "SOHAN",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "209-466-2235",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "A37000",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "A88405",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.