Active NPI
Sonia Puri
- Family Medicine Physician
- Orange, CA
National Provider Identifier
1417652918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A199996
- Practice address
- 101 The City Dr S Ste 835
Orange, CA 92868-3201 - Phone
- (714) 480-2440
- NPI assigned
- Apr 3, 2023
- Last updated
- Apr 27, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A199996 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S Ste 835
Orange, CA 92868-3201
Mailing address
11548 Trailway Dr
Riverside, CA 92505-3473
Phone (626) 340-6485
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250507000785 | CA | Order and Referring Only - Family Practice | 7315464963 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A199996 | CA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745712000000",
"number": "1417652918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11548 TRAILWAY DR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925053473",
"telephone_number": "626-340-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S STE 835",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-480-2440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURI",
"first_name": "SONIA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-03",
"last_updated": "2025-04-27",
"certification_date": "2025-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A199996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.