Individual provider Active NPI

Sanjay Sood, M.D.

  • Family Medicine Physician
  • Porterville, CA
National Provider Identifier
1255451811
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A60939 Issued in CA
Practice address
1107 W Poplar Ave
Porterville, CA 93257-5839
Phone
(559) 781-7242
Fax
(559) 793-3174
NPI assigned
Mar 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 197637 NY
Family Medicine Physician 207Q00000X D55869 MD
Family Medicine Physician 207Q00000X A60939 CA Primary

Addresses

Primary practice location

1107 W Poplar Ave
Porterville, CA 93257-5839

Mailing address

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Other practice location 1

975 Westchester Ave
Bronx, NY 10459-3204
Phone (718) 320-4466

Other practice location 2

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Other practice location 3

104 Plumtree Rd Ste 115
Bel Air, MD 21015-6095
Phone (410) 515-4300

Other practice location 4

1513 Fremont Blvd # E1
Seaside, CA 93955-4319
Phone (831) 899-1910

Other identifiers 1

IdentifierTypeStateIssuer
05283394MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MD, DC, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20040115000517 CA Practitioner - Family Practice 8921909722 Reassigns benefits to 2 organizations
I20140721000023 MD Practitioner - Family Practice 8921909722 Reassigns benefits to 2 organizations
I20170224000140 DC Practitioner - Family Practice 8921909722 Reassigns benefits to 2 organizations
I20180927001352 NY Practitioner - Family Practice 8921909722 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Doctors on Duty Medical Group, IncGroup PAC ID 2466366703, 64 clinicians

Practice addresses (Care Compare)

1513 Fremont Blvd
E1
Seaside, CA 93955-4319
Phone (831) 899-1910

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D55869MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Healthcare Network CurrentSince Aug 2, 2022 Accepting new patients
Familys Urgent Care Family Medicine CurrentSince Apr 1, 2026 Accepting new patients
Family Healthcare Network Current Accepting new patients
Essen Medical Associates, PC CurrentSince Jul 1, 2018 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Essen Medical Associates,PC CurrentSince Jul 1, 2018 Accepting new patients
Ravi Passi MD PC CurrentSince Dec 4, 2016 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Bronx Medical Practice P.C. CurrentSince Jul 1, 2018 Accepting new patients
Family Healthcare Network CurrentSince Aug 2, 2022 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince May 18, 2021 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince May 18, 2021 Accepting new patients
Doctors on Duty Medical Group, Inc CurrentSince Apr 21, 2025 Accepting new patients
Seaside Doctors on Duty PastSince Apr 21, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Family Healthcare Network Past Accepting new patients

Locations

290 N Wayte Ln
Fresno, CA 93701
Phone (559) 459-4101

3130 Del Monte Blvd
Marina, CA 93933
Phone (831) 883-3330

100 Wilson Rd
Ste 100
Monterey, CA 93940
Phone (831) 242-8301

1107 W Poplar Ave
Porterville, CA 93257
Phone (559) 781-7242

1513 Fremont Blvd
#E1
Seaside, CA 93955
Phone (831) 899-1910

305 E Center Ave
Visalia, CA 93291
Phone (559) 737-4792

104 Plumtree Rd
Ste 115
Bel Air, MD 21015
Phone (410) 515-4300

848 S Rolling Rd
Catonsville, MD 21228
Phone (301) 527-1650

8011 New Hampshire Ave
Hyattsville, MD 20783
Phone (301) 519-9200

15245 Shady Grove Rd
Ste 130
Rockville, MD 20850
Phone (301) 527-1650

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

Interoperability endpoints

  • Direct secure messaging: ssood26081@direct.svmh.com

Organizations & group practices 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1175126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1255451811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 GRAND CONCOURSE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104534303",
            "telephone_number": "718-299-7295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 W POPLAR AVE",
            "city": "PORTERVILLE",
            "state": "CA",
            "postal_code": "932575839",
            "telephone_number": "559-781-7242",
            "fax_number": "559-793-3174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "975 Westchester Ave",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104593204",
            "country_code": "US",
            "telephone_number": "718-320-4466",
            "fax_number": "718-991-3829",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2015 Grand Concourse",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104534303",
            "country_code": "US",
            "telephone_number": "718-299-7295",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "104 Plumtree Rd Ste 115",
            "address_purpose": "LOCATION",
            "city": "Bel Air",
            "state": "MD",
            "postal_code": "210156095",
            "country_code": "US",
            "telephone_number": "410-515-4300",
            "fax_number": "410-601-1052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1513 Fremont Blvd # E1",
            "address_purpose": "LOCATION",
            "city": "Seaside",
            "state": "CA",
            "postal_code": "939554319",
            "country_code": "US",
            "telephone_number": "831-899-1910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOOD",
        "first_name": "SANJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-29",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "197637",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D55869",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A60939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05283394",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Porterville, CA

Sources for this page

Verify at the official NPI Registry.