Active NPI
Sanjay Sood, M.D.
- Family Medicine Physician
- Porterville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A60939
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05283394 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, MD, DC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 4
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
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.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D55869 | MD | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Healthcare Network | Current | Accepting new patients | |
| Familys Urgent Care | Family Medicine | Current | Accepting new patients |
| Family Healthcare Network | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Lifebridge Community Physicians, Inc | Current | Accepting new patients | |
| Essen Medical Associates,PC | Current | Accepting new patients | |
| Ravi Passi MD PC | Current | Accepting new patients | |
| Essen Medical Associates, PC | Current | Accepting new patients | |
| Bronx Medical Practice P.C. | Current | Accepting new patients | |
| Family Healthcare Network | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Lifebridge Community Physicians Inc | Current | Accepting new patients | |
| Doctors on Duty Medical Group, Inc | Current | Accepting new patients | |
| Seaside Doctors on Duty | Past | 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
- 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.
-
- Urgent Care Clinic/Center
- Salinas, CA
- NPI 1568465466
-
- Federally Qualified Health Center (FQHC)
- Woodlake, CA
- NPI 1164517744
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1356726087
-
- Legal Medicine
- Bronx, NY
- NPI 1366418709
-
- Cardiovascular Disease Physician
- Timonium, MD
- NPI 1174815807
-
- Federally Qualified Health Center (FQHC)
- Delano, CA
- NPI 1063283158
-
- Federally Qualified Health Center (FQHC)
- Fresno, CA
- NPI 1225546575
-
- Podiatrist
- Bronx, NY
- NPI 1720799158
-
- Legal Medicine (M.D./D.O.) Physician
- Jamaica, NY
- NPI 1700023926
-
- Cardiovascular Disease Physician
- Lutherville, MD
- NPI 1740086149
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.