Individual provider Active NPI

Mehul Shailesh Sonawala, M.D.

  • Internal Medicine Physician
  • Pomona, CA
National Provider Identifier
1336166180
Registry record updated Jan 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A66419 Issued in CA
Practice address
887 E 2ND St
Pomona, CA 91766-2009
Phone
(909) 620-7769
Fax
(877) 778-6944
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2017

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 A66419 CA Primary

Addresses

Primary practice location

887 E 2ND St
Pomona, CA 91766-2009

Mailing address

200 Oceangate
Suite 100
Long Beach, CA 90802-4317
Phone (562) 499-6191

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
I20070219000231 CA Practitioner - Internal Medicine 1658473848 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cajon Medical Group PCGroup PAC ID 8820351174, 18 clinicians
Jessica Basa MD IncGroup PAC ID 0446153159, 2 clinicians

Practice addresses (Care Compare)

1809 W Redlands Blvd
Redlands, CA 92373-8054
Phone (909) 735-2446

705 E Virginia Way
Suite F
Barstow, CA 92311-3955
Phone (760) 256-1226

Hospital & facility affiliations

  • Barstow Community Hospital Hospital, Barstow, CA, CCN 050298

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A66419CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Healthcare Associates, Inc. CurrentSince Apr 20, 2019 Accepting new patients
Jessica Basa, M.D., Inc. CurrentSince Mar 31, 2022 Accepting new patients
Cajon Medical Group PC Internal Medicine Current Accepting new patients
Cajon Medical Group PC Internal Medicine CurrentSince Dec 5, 2022 Accepting new patients
Cajon Medical Group, PC Internal Medicine CurrentSince Dec 5, 2022 Accepting new patients
Victor Valley Community Hospital Past Accepting new patients
Cajon Medical Group PC Internal Medicine Past Accepting new patients
Joseph M Molina MD Professional Corporation-Southern California Internal Medicine Past Accepting new patients
Cajon Medical Group, PC Internal Medicine PastSince Nov 26, 2023 Accepting new patients
Qazi Medical Group, Inc. Internal Medicine Past Accepting new patients

Locations

19111 Town Center Dr
Apple Valley, CA 92308
Phone (661) 345-3055

18522 US Highway 18
Ste 208
Apple Valley, CA 92307
Phone (760) 242-9262

705 E Virginia Way
Ste F
Barstow, CA 92311
Phone (760) 256-1226

12555 Central Ave
Ste A
Chino, CA 91710

5475 Walnut Ave
Fl 2
Chino, CA 91710
Phone (909) 902-1082

5475 Walnut Ave
Chino, CA 91710
Phone (909) 591-6446

162 N Santa Fe St
Hemet, CA 92543
Phone (951) 506-9522

31571 Canyon Estates Dr
Ste 124
Lake Elsinore, CA 92532
Phone (951) 676-2119

44725 10th St W
Ste 230
Lancaster, CA 93534
Phone (661) 948-1611

11306 Mountain View Ave
Ste C
Loma Linda, CA 92354
Phone (909) 478-9081

12980 Frederick St
Ste C
Moreno Valley, CA 92553
Phone (951) 242-5760

23100 Eucalyptus Ave
Ste D
Moreno Valley, CA 92553
Phone (619) 881-4516

1809 W Redlands Blvd
Redlands, CA 92373
Phone (909) 307-1320

1815 W Redlands Blvd
Redlands, CA 92373

4013 Brockton Ave
Riverside, CA 92501
Phone (951) 520-1777

2372 Sterling Ave
Sn Bernrdno, CA 92404
Phone (909) 422-8029

1738 N Waterman Ave
Ste 7
Sn Bernrdno, CA 92404
Phone (909) 557-0135

29645 Rancho California Rd
Temecula, CA 92591
Phone (909) 699-9775

732 N Mountain Ave
Ste A
Upland, CA 91786
Phone (909) 505-0693

34675 Yucaipa Blvd
Ste 107
Yucaipa, CA 92399

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 10

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 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484697600000",
    "number": "1336166180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 OCEANGATE",
            "address_2": "SUITE 100",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908024317",
            "telephone_number": "562-499-6191",
            "fax_number": "562-499-6171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "887 E 2ND ST",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "917662009",
            "telephone_number": "909-620-7769",
            "fax_number": "877-778-6944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONAWALA",
        "first_name": "MEHUL",
        "middle_name": "SHAILESH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A66419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pomona, CA

Sources for this page

Verify at the official NPI Registry.