Individual provider Active NPI

Sophia Symko, MD

  • Neuroradiology Physician
  • Santa Monica, CA
National Provider Identifier
1215063896
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
A60267 Issued in CA
Practice address
2428 Santa Monica Blvd
Santa Monica, CA 90404-2045
Phone
(310) 315-1000
NPI assigned
Feb 26, 2007
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X A60267 CA Primary
Diagnostic Radiology Physician 2085R0202X 39782 CO

Addresses

Primary practice location

2428 Santa Monica Blvd
Santa Monica, CA 90404-2045

Mailing address

2045 Franklin St
Denver, CO 80205
Phone (303) 338-4545

Other practice location 1

2045 Franklin St
Denver, CO 80205
Phone (303) 338-4545

Other identifiers 2

IdentifierTypeStateIssuer
013203OtherCOKAISER COMMERCIAL NUMBER
54972051MedicaidCO

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
I20040909001466 CA Practitioner - Diagnostic Radiology 3274509252 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Utah School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1005 Van Ness Ave
Simonmed Imaging San Francisco Van Ness
San Francisco, CA 94109-6913
Phone (415) 229-7825

10111 Hole Ave
Riverside, CA 92503-3441
Phone (951) 352-0555

14651 S Bascom Ave
120 Simonmed Imaging Los Gatos
Los Gatos, CA 95032-2004
Phone (408) 356-9013

1825 Civic Ctr Dr
Suite 1
Santa Clara, CA 95050-7302
Phone (408) 296-5555

325 Sacramento St
San Francisco, CA 94111-3601
Phone (415) 321-4674

42945 Corte Siero
Temecula, CA 92592-3639
Phone (480) 306-6949

665 Munras Ave
Suite 109
Monterey, CA 93940-3136
Phone (831) 656-9800

Merit-based Incentive Payment System (MIPS)

Final score
89.14 of 100Reported as group
Quality
84.79
Promoting interoperability
99
Improvement activities
40
Cost
73.15

Merit-based Incentive Payment System (MIPS)

Final score
78.24 of 100Reported as group
Quality
51.34
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.3 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.38 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40
Cost
77.19

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A60267CAMDNeuroradiology Physician
39782COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jul 15, 2024 Accepting new patients
Health Diagnostics of California a Professional Corporation Diagnostic Radiology CurrentSince Jul 15, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince Oct 30, 2023 Accepting new patients
Arizona Diagnostic Radiology Group, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Stanford Health Care Diagnostic Radiology Current Accepting new patients
Pronet Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Jul 1, 2018 Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology Current Accepting new patients
Kern Radiology Medical Group, Inc Diagnostic Radiology CurrentSince Sep 26, 2020 Accepting new patients
San Fernando Valley Interventional Radiology and Imaging Center CurrentSince Jul 1, 2018 Accepting new patients
Austin Radiological Association Past Accepting new patients
Vallejo Open MRI Center Diagnostic Radiology Past Accepting new patients
Flatirons Radiology, LLC Neuroradiology Past Accepting new patients
Smi Imaging, LLC Diagnostic Radiology Past Accepting new patients

Locations

1817 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 325-6800

2301 Bahamas Dr
Bakersfield, CA 93309

3838 San Dimas St
Ste A120
Bakersfield, CA 93301
Phone (661) 328-9600

9330 Stockdale Hwy
Ste 100
Bakersfield, CA 93311
Phone (661) 325-6800

8750 Wilshire Blvd
Ste 100
Beverly Hills, CA 90211
Phone (310) 689-3100

16130 Ventura Blvd
Ste 100
Encino, CA 91436
Phone (818) 933-2020

16311 Ventura Blvd
Ste 120
Encino, CA 91436
Phone (818) 817-7707

1516 Cotner Ave
Los Angeles, CA 90025
Phone (310) 445-2843

8436 W 3rd St
Ste 801
Los Angeles, CA 90048
Phone (310) 358-2100

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

4640 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 836-4700

665 Munras Ave
Ste 109
Monterey, CA 93940
Phone (831) 656-9800

325 Sacramento St
#1112
San Francisco, CA 94111
Phone (408) 356-9013

2336 Santa Monica Blvd
Ste 206
Santa Monica, CA 90404
Phone (310) 315-1000

2428 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 315-1000

2428 Santa Monica Blvd
Ste 100
Santa Monica, CA 90404
Phone (310) 264-1777

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

300 Pasteur Dr
#5500
Stanford, CA 94305
Phone (415) 723-5525

2320 N California St
Stockton, CA 95204
Phone (209) 466-2000

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1215063896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2045 FRANKLIN ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "80205",
            "telephone_number": "303-338-4545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 SANTA MONICA BLVD",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904042045",
            "telephone_number": "310-315-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2045 Franklin St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80205",
            "country_code": "US",
            "telephone_number": "303-338-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYMKO",
        "first_name": "SOPHIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "CA",
            "license": "A60267",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "39782",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER COMMERCIAL NUMBER",
            "identifier": "013203",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "54972051",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.