Individual provider Active NPI

Smita Manoj Soans, MD

  • Family Medicine Physician
  • Santa Ana, CA
National Provider Identifier
1356309215
Registry record updated Jul 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A91303 Issued in CA
Practice address
1226 N Broadway
Santa Ana, CA 92701-3412
Phone
(714) 825-0940
Fax
(714) 835-0944
NPI assigned
May 2, 2006
Last updated
Jul 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A91303 CA Primary

Addresses

Primary practice location

1226 N Broadway
Santa Ana, CA 92701-3412

Mailing address

1226 N Broadway
Santa Ana, CA 92701-3412
Phone (714) 825-0940

Other identifiers 3

IdentifierTypeStateIssuer
EFF: 5/3/2006MedicaidCA
00A91303MedicaidCA
P01758270-DU4032OtherCARR MEDICARE

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
I20060120000789 CA Practitioner - Family Practice 8224052956

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1226 N Broadway
Santa Ana, CA 92701-3412

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
91303CAMDMental Health Counselor
A91303CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sangamitra Kothapa M D Inc Family Medicine CurrentSince Jul 25, 2019 Accepting new patients
Smita Soans MD Medical Corporation Family Medicine CurrentSince Jun 24, 2020 Accepting new patients
Pih Health Whittier Hospital Past Accepting new patients
Bright Medical Associates, Inc. Past Accepting new patients
Montes Medical Group Inc Family Medicine PastSince Jun 27, 2010 Accepting new patients

Locations

1226 N Broadway
Santa Ana, CA 92701
Phone (714) 825-0940

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: ssoans1374250@oc.providencedirect.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563148800000",
    "number": "1356309215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1226 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013412",
            "telephone_number": "714-825-0940",
            "fax_number": "714-835-0944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 N BROADWAY",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927013412",
            "telephone_number": "714-825-0940",
            "fax_number": "714-835-0944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOANS",
        "first_name": "SMITA",
        "middle_name": "MANOJ",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-02",
        "last_updated": "2019-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A91303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "EFF: 5/3/2006",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A91303",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01758270-DU4032",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.