NPIMap

Individual provider Active NPI

Sandeep Ashu Soni, M.D.

  • Infectious Disease Physician
  • Poway, CA
National Provider Identifier
1285716332
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A106937 Issued in CA
Practice address
15644 Pomerado Rd
Suite 202
Poway, CA 92064-2400
Phone
(858) 312-5459
Fax
(858) 345-3743
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A106937 CA
Infectious Disease Physician 207RI0200X A106937 CA Primary

Addresses

Primary practice location

15644 Pomerado Rd
Suite 202
Poway, CA 92064-2400

Mailing address

PO Box 28849
San Diego, CA 92198-0849
Phone (858) 312-5459

Other identifiers 1

IdentifierTypeStateIssuer
1285716322MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090506000323 CA Practitioner - Infectious Disease 2365547247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mission Infectious Disease and Infusion Consultants IncGroup PAC ID 6800070624, 4 clinicians

Practice addresses (Care Compare)

15644 Pomerado Rd
Suite 202
Poway, CA 92064-2434
Phone (858) 312-5459

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A106937CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mission Infectious Disease & Infusion Consultants Inc Internal Medicine CurrentSince Mar 1, 2011 Accepting new patients
Southwest Desert Cardiology PC PastSince Jun 3, 2002 Accepting new patients
Mercy Hospital Past Accepting new patients
Palomar Health Past Accepting new patients
Mercy Hospital Past Accepting new patients

Locations

15644 Pomerado Rd
Ste 202
Poway, CA 92064
Phone (619) 320-8090

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1285716332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 28849",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921980849",
            "telephone_number": "858-312-5459",
            "fax_number": "858-345-3743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD",
            "address_2": "SUITE 202",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642400",
            "telephone_number": "858-312-5459",
            "fax_number": "858-345-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "SANDEEP",
        "middle_name": "ASHU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106937",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A106937",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285716322",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

Verify at the official NPI Registry.