Organization Active NPI

Neil R Soni MD Inc

  • Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician
  • Fountain Valley, CA
National Provider Identifier
1275853244
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081H0002X
License
A97825 Issued in CA
Legal business name
NEIL R SONI MD INC
Practice address
9940 Talbert Ave Ste 101
Fountain Valley, CA 92708-5153
Phone
(714) 545-8700
Fax
(714) 545-8084
NPI assigned
Jun 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Authorized official

Name
Neil R Soni, M.D.NPI 1306054150
Title
Owner / Provider
Phone
(714) 545-8700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2081H0002X A97825 CA Primary

Addresses

Primary practice location

9940 Talbert Ave Ste 101
Fountain Valley, CA 92708-5153

Mailing address

9940 Talbert Ave
Suite 101
Fountain Valley, CA 92708-5153
Phone (714) 545-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100720000484 CA Part B Supplier - Clinic/Group Practice 7618009044 Receives reassigned benefits from 1 practitioner
Practice locations: Fountain Valley, CA

National Provider Directory

National Provider Directory
Tax ID family
Neil R Soni MD2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9940 Talbert Ave
Ste 101
Fountain Vly, CA 92708
Phone (714) 241-9070

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1275350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346025600000",
    "number": "1275853244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9940 TALBERT AVE",
            "address_2": "SUITE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-545-8700",
            "fax_number": "714-545-8084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9940 TALBERT AVE STE 101",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927085153",
            "telephone_number": "714-545-8700",
            "fax_number": "714-545-8084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEIL R SONI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-01",
        "last_updated": "2012-08-27",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "NEIL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER / PROVIDER",
        "authorized_official_telephone_number": "714-545-8700",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2081H0002X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
            "state": "CA",
            "license": "A97825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.