NPIMap

Organization Active NPI

Sohan L. Dua M.D.

Doing business as Valley Renal Medical Group

  • Specialist
  • Northridge, CA
National Provider Identifier
1215149026
Registry record updated Oct 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A25072 Issued in CA
Legal business name
SOHAN L. DUA M.D.
Doing business as
Valley Renal Medical Group
Practice address
8349 Reseda Blvd
Suite G
Northridge, CA 91324-4622
Phone
(818) 886-5827
Fax
(818) 775-9351
NPI assigned
May 4, 2007
Last updated
Oct 1, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2012

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

Authorized official

Name
Dr. Sohan Dua, M.D.
Title
Owner
Phone
(818) 886-7300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A25072 CA Primary

Addresses

Primary practice location

8349 Reseda Blvd
Suite G
Northridge, CA 91324-4622

Mailing address

8349 Reseda Blvd
Suite G
Northridge, CA 91324-4622
Phone (818) 886-5827

Other identifiers 1

IdentifierTypeStateIssuer
GR0041970MedicaidCA

Other names 1

  • VALLEY RENAL MEDICAL GROUP Doing business as

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349049600000",
    "number": "1215149026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8349 RESEDA BLVD",
            "address_2": "SUITE G",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244622",
            "telephone_number": "818-886-5827",
            "fax_number": "818-775-9351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8349 RESEDA BLVD",
            "address_2": "SUITE G",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913244622",
            "telephone_number": "818-886-5827",
            "fax_number": "818-775-9351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOHAN L. DUA M.D.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2012-10-01",
        "status": "A",
        "authorized_official_last_name": "DUA",
        "authorized_official_first_name": "SOHAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-886-7300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A25072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0041970",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY RENAL MEDICAL GROUP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.