Active NPI
M Hertzel Soumekh, M.D.
- Neurological Surgery Physician
- San Diego, CA
National Provider Identifier
1265495014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- A37843
- Practice address
- 8008 Frost St
Suite 401
San Diego, CA 92123-4205 - Phone
- (858) 560-8544
- Fax
- (858) 560-8546
- NPI assigned
- Apr 11, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | A37843 | CA | Primary |
Addresses
Primary practice location
8008 Frost St
Suite 401
San Diego, CA 92123-4205
Mailing address
8008 Frost St
Suite 401
San Diego, CA 92123-4205
Phone (858) 560-8544
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A378430 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A37843 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharp Memorial Hospital | Past | Accepting new patients | |
| Grossmont Hospital Corporation | Past | Accepting new patients | |
| Scripps Health | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- General Acute Care Hospital
- La Mesa, CA
- NPI 1528041811
-
- General Acute Care Hospital
- La Jolla, CA
- NPI 1841277704
-
- Rehabilitation Hospital Unit
- San Diego, CA
- NPI 1114901352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364428800000",
"number": "1265495014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8008 FROST ST",
"address_2": "SUITE 401",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234205",
"telephone_number": "858-560-8544",
"fax_number": "858-560-8546"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8008 FROST ST",
"address_2": "SUITE 401",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921234205",
"telephone_number": "858-560-8544",
"fax_number": "858-560-8546"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUMEKH",
"first_name": "M",
"middle_name": "HERTZEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-11",
"last_updated": "2013-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "A37843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A378430",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.