Individual provider Active NPI

Sonia Panjwani, M.D.

  • Internal Medicine Physician
  • Victorville, CA
National Provider Identifier
1316978075
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A51868 Issued in CA
Practice address
12760 Hesperia Rd Ste B
Victorville, CA 92395-5806
Phone
(760) 951-5552
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A51868 CA Primary

Addresses

Primary practice location

12760 Hesperia Rd Ste B
Victorville, CA 92395-5806

Mailing address

12760 Hesperia Rd Ste B
Victorville, CA 92395-5806
Phone (760) 951-5552

Other identifiers 2

IdentifierTypeStateIssuer
P00190286OtherCARAILROAD MEDICARE
00A518680MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040220001034 CA Practitioner - Internal Medicine 5991609893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

12760 Hesperia Rd B
Victorville, CA 92395-8305
Phone (760) 951-5552

Merit-based Incentive Payment System (MIPS)

Final score
97.75 of 100Reported as individual
Quality
88.32
Improvement activities
40
Cost
91.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A51868CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sonia Panjwani, M.D., Inc. Internal Medicine CurrentSince Aug 1, 2003 Accepting new patients
Desert Valley Hospital, LLC Past Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

12677 Hesperia Rd
Ste 170
Victorville, CA 92395
Phone (760) 951-5552

12760 Hesperia Rd
Ste B
Victorville, CA 92395
Phone (760) 951-5552

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: soniapanjwani@spmed.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1316978075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12760 HESPERIA RD STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955806",
            "telephone_number": "760-951-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12760 HESPERIA RD STE B",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955806",
            "telephone_number": "760-951-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANJWANI",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A51868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00190286",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A518680",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victorville, CA

Sources for this page

Verify at the official NPI Registry.