Individual provider Active NPI

Daljit Soni, M.D

  • Radiation Oncology Physician
  • Lynwood, CA
National Provider Identifier
1467659995
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
A34355 Issued in CA
Practice address
3630 E Imperial Hwy
Lynwood, CA 90262-2609
Phone
(310) 900-2760
Fax
(310) 635-0763
NPI assigned
Jun 28, 2007
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
Radiation Oncology Physician 2085R0001X A34355 CA Primary

Addresses

Primary practice location

3630 E Imperial Hwy
Lynwood, CA 90262-2609

Mailing address

16292 Elza Dr
Hacienda Heights, CA 91745-6512
Phone (626) 968-3249

Other identifiers 1

IdentifierTypeStateIssuer
00A34551MedicaidAR

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
I20080314000274 CA Practitioner - Radiation Oncology 0648355693 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2440 E S St
Long Beach, CA 90805-4426
Phone (562) 633-0836

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34355CAMDDentist
A34355CAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covina Cancer Care Medical Center, Inc. CurrentSince Apr 1, 2022 Accepting new patients
The Oncology Institute Ca, a Professional Corporation Radiation Oncology CurrentSince Jun 1, 2023 Accepting new patients
Starling Oncology Ca, a Professional Corporation CurrentSince Jun 1, 2023 Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Metropolitan Hematology Oncology Medical Group, Inc Past Accepting new patients

Locations

80 S Palm Ave
Alhambra, CA 91801
Phone (626) 571-6729

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

900 S Main St
Ste 204
Corona, CA 92882
Phone (951) 372-2400

554 E San Bernardino Rd
Ste 105
Covina, CA 91723
Phone (626) 331-6866

10226 Lakewood Blvd
Downey, CA 90241
Phone (562) 287-7209

11100 Warner Ave
Ste 214
Fountain Vly, CA 92708
Phone (714) 594-7820

6121 N Thesta St
Ste 204
Fresno, CA 93710
Phone (559) 438-7390

3300 E South St
Ste 304
Lakewood, CA 90805
Phone (562) 232-0550

2440 E South St
Long Beach, CA 90805
Phone (562) 633-0836

1555 N Orange Grove Ave
Pomona, CA 91767
Phone (909) 242-7300

399 E Highland Ave
Ste 501
Sn Bernrdno, CA 92404
Phone (909) 982-4252

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

2067 W Vista Way
Ste 295
Vista, CA 92083
Phone (526) 735-3226

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467659995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16292 ELZA DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917456512",
            "telephone_number": "626-968-3249",
            "fax_number": "626-964-0716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3630 E IMPERIAL HWY",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622609",
            "telephone_number": "310-900-2760",
            "fax_number": "310-635-0763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONI",
        "first_name": "DALJIT",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "CA",
            "license": "A34355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A34551",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

Verify at the official NPI Registry.