Individual provider Active NPI

Sonia Devgan-Kacker, MD

  • Family Medicine Physician
  • Marina del Rey, CA
National Provider Identifier
1528002839
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A67070 Issued in CA
Practice address
4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424
Phone
(310) 827-3700
NPI assigned
Jun 16, 2006
Last updated
Jan 8, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A67070 CA Primary
Sports Medicine (Family Medicine) Physician 207QS0010X A67070 CA
Occupational Medicine Physician 2083X0100X A67070 CA

Addresses

Primary practice location

4560 Admiralty Way Ste 100
Marina del Rey, CA 90292-5424

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

1220 La Venta Dr
Suite 201
Westlake Village, CA 91361-3703
Phone (805) 379-9125

Other names 1

  • Sonia Devgan-Kacker Other name

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
I20110307000260 CA Practitioner - Family Practice 2668494287 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Irvine, California College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westlake Village Urgent Care Occ Fam Med CLGroup PAC ID 9739247859, 2 clinicians

Practice addresses (Care Compare)

10250 Santa Monica Blvd
Suite 2440
Los Angeles, CA 90067-6469
Phone (310) 286-0122

2020 Santa Monica Blvd
Suite 210
Santa Monica, CA 90404-2139
Phone (310) 458-2381

23815 Stuart Ranch Rd
Malibu, CA 90265-4861

2424 Wilshire Blvd
Santa Monica, CA 90403-5806
Phone (310) 828-4530

2900 Townsgate Rd
Suite 103
Westlake Village, CA 91361-5821
Phone (805) 379-9125

6344 Topanga Canyon Blvd
Suite 2040
Woodland Hills, CA 91367-2362
Phone (818) 610-0292

Merit-based Incentive Payment System (MIPS)

Final score
87.51 of 100Reported as group
Quality
79.37
Promoting interoperability
100
Improvement activities
40
Cost
73.65

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A67070CAMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Jan 1, 2024 Accepting new patients
The Regents of the University of California Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
Westlake Village Urgent Care Occ Fam Med CL Family Medicine CurrentSince Nov 1, 2000 Accepting new patients
The Regents of the University of California CurrentSince Jan 1, 2024 Accepting new patients
Regents of the University of California Family Medicine CurrentSince Jan 1, 2024 Accepting new patients
UCLA Medical Group Family Medicine Past Accepting new patients

Locations

6000 Sepulveda Blvd
Ste E10
Culver City, CA 90230
Phone (310) 313-0020

1000 Flower St
Glendale, CA 91201
Phone (818) 659-5000

24302 Paseo de Valencia
Ste 200
Laguna Hills, CA 92653
Phone (949) 458-8252

10250 Santa Monica Blvd
Ste 2440
Los Angeles, CA 90067
Phone (310) 286-0122

5767 W Century Blvd
Ste 400
Los Angeles, CA 90045
Phone (310) 301-5200

File 55737
Los Angeles, CA 90074

File 59755
Los Angeles, CA 90074

23815 Stuart Ranch Rd
#300
Malibu, CA 90265
Phone (310) 456-1668

23815 Stuart Ranch Rd
Ste 301
Malibu, CA 90265
Phone (310) 317-0034

4560 Admiralty Way
Ste 100
Marina del Rey, CA 90292
Phone (310) 656-1770

2020 Santa Monica Blvd
Ste 210
Santa Monica, CA 90404
Phone (310) 458-2381

100 Moody Ct
Ste 200
Thousand Oaks, CA 91360
Phone (805) 418-3500

2900 Townsgate Rd
Ste 103
Westlake Village, CA 91361
Phone (805) 379-9125

1220 La Venta Dr
Ste 101
Westlake Vlg, CA 91361
Phone (805) 379-9125

1220 La Venta Dr
Ste 201
Westlake Vlg, CA 91361
Phone (805) 379-9125

4607 Lakeview Canyon Rd
Westlake Vlg, CA 91361
Phone (805) 491-1581

Interoperability endpoints

  • Direct secure messaging: sdevgankacker1225892@direct.uclahealth.org

Organizations & group practices 6

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704672000000",
    "number": "1528002839",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4560 ADMIRALTY WAY STE 100",
            "city": "MARINA DEL REY",
            "state": "CA",
            "postal_code": "902925424",
            "telephone_number": "310-827-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 La Venta Dr",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Westlake Village",
            "state": "CA",
            "postal_code": "913613703",
            "country_code": "US",
            "telephone_number": "805-379-9125",
            "fax_number": "805-379-2311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEVGAN-KACKER",
        "first_name": "SONIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A67070",
            "primary": true
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "CA",
            "license": "A67070",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "A67070",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SONIA",
            "last_name": "DEVGAN-KACKER",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Marina del Rey, CA

Sources for this page

Verify at the official NPI Registry.