Individual provider Active NPI

Vivek Soham, DC, CME

  • Chiropractor
  • San Diego, CA
National Provider Identifier
1558945493
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34687 Issued in CA
Practice address
12335 World Trade Dr Ste 1a
San Diego, CA 92128-3783
Phone
(858) 432-3072
NPI assigned
May 6, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34687 CA Primary

Addresses

Primary practice location

12335 World Trade Dr Ste 1a
San Diego, CA 92128-3783

Mailing address

12335 World Trade Dr Ste 1a
San Diego, CA 92128-3783
Phone (858) 432-3072

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address support@nimbusbrainspine.com Direct

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Soham Chiropractic Corp Chiropractor CurrentSince Jan 26, 2022 Accepting new patients

Locations

12335 World Trade Dr
Ste 1A
San Diego, CA 92128
Phone (858) 432-3072

Organizations & group practices 1

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": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1558945493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12335 WORLD TRADE DR STE 1A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283783",
            "telephone_number": "858-432-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12335 WORLD TRADE DR STE 1A",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921283783",
            "telephone_number": "858-432-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHAM",
        "first_name": "VIVEK",
        "name_prefix": "Dr.",
        "credential": "DC, CME",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "support@nimbusbrainspine.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "12335 World Trade Dr Ste 1A",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921283783",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; 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.