Organization Active NPI

Shashi .T Sood M.D., Inc

  • Family Medicine Physician
  • Modesto, CA
National Provider Identifier
1154698447
Registry record updated Feb 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A38105 Issued in CA
Legal business name
SHASHI .T SOOD M.D., INC
Practice address
1401 Spanos CT Ste 110
Modesto, CA 95355-2812
Phone
(209) 525-3185
NPI assigned
Nov 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2012

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

Authorized official

Name
Dr. Shashi Taneja Sood, M.D
Title
M.D
Phone
(209) 525-3185

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A38105 CA Primary

Addresses

Primary practice location

1401 Spanos CT Ste 110
Modesto, CA 95355-2812

Mailing address

1401 Spanos CT Ste 110
Modesto, CA 95355-2812
Phone (209) 525-3185

National Provider Directory

National Provider Directory

Locations

1401 Spanos Ct
Ste 110
Modesto, CA 95355
Phone (209) 525-3185

NPI Registry JSON

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

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1328140800000",
    "number": "1154698447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT STE 110",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552812",
            "telephone_number": "209-525-3185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT STE 110",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552812",
            "telephone_number": "209-525-3185"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHASHI .T SOOD M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-30",
        "last_updated": "2012-02-02",
        "status": "A",
        "authorized_official_last_name": "SOOD",
        "authorized_official_first_name": "SHASHI",
        "authorized_official_middle_name": "TANEJA",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "209-525-3185",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A38105",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.