Organization Active NPI

Virgilio J. Soriano, M.D., Inc.

  • Internal Medicine Physician
  • West Covina, CA
National Provider Identifier
1205871399
Registry record updated Dec 10, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VIRGILIO J. SORIANO, M.D., INC.
Practice address
1559 E Amar Rd
Suite F
West Covina, CA 91792-1679
Phone
(626) 810-1522
Fax
(626) 810-2793
NPI assigned
Jun 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2007

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

Authorized official

Name
Dr. Virgilio J. Soriano, M.D.NPI 1801843073
Title
President
Phone
(626) 810-1522

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

1559 E Amar Rd
Suite F
West Covina, CA 91792-1679

Mailing address

1559 E Amar Rd
West Covina, CA 91792-1679
Phone (626) 810-1522

Other identifiers 1

IdentifierTypeStateIssuer
00A394380MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080115000293 CA Part B Supplier - Clinic/Group Practice 9739260829 Receives reassigned benefits from 1 practitioner
Practice locations: West Covina, CA

National Provider Directory

National Provider Directory

Locations

1559 E Amar Rd
West Covina, CA 91792

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197244800000",
    "number": "1205871399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1559 E AMAR RD",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921679",
            "telephone_number": "626-810-1522",
            "fax_number": "626-810-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1559 E AMAR RD",
            "address_2": "SUITE F",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917921679",
            "telephone_number": "626-810-1522",
            "fax_number": "626-810-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VIRGILIO J. SORIANO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-20",
        "last_updated": "2007-12-10",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "VIRGILIO",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-810-1522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A394380",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2007; 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.

Verify at the official NPI Registry.