Individual provider Active NPI

Elizabeth Soda, MD

  • Infectious Disease Physician
  • Belmont, CA
National Provider Identifier
1336315241
Registry record updated Jun 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A110415 Issued in CA
Practice address
1301 Shoreway Rd
Suite 100
Belmont, CA 94002-4151
Phone
(650) 596-7000
Fax
(650) 596-7096
NPI assigned
May 1, 2008
Last updated
Jun 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 134530 NC
Internal Medicine Physician 207R00000X A110415 CA
Infectious Disease Physician 207RI0200X A110415 CA Primary

Addresses

Primary practice location

1301 Shoreway Rd
Suite 100
Belmont, CA 94002-4151

Mailing address

1301 Shoreway Rd
Suite 100
Belmont, CA 94002-4151
Phone (650) 596-7000

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

LicenseStateTypeSpecialty
134530NCMDInternal Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402876800000",
    "number": "1336315241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHOREWAY RD",
            "address_2": "SUITE 100",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940024151",
            "telephone_number": "650-596-7000",
            "fax_number": "650-596-7096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHOREWAY RD",
            "address_2": "SUITE 100",
            "city": "BELMONT",
            "state": "CA",
            "postal_code": "940024151",
            "telephone_number": "650-596-7000",
            "fax_number": "650-596-7096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODA",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-01",
        "last_updated": "2014-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "134530",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A110415",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A110415",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Belmont, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.