Individual provider Active NPI

Malini Soogoor, M.D.,

  • Infectious Disease Physician
  • Simi Valley, CA
National Provider Identifier
1659328185
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A81723 Issued in CA
Practice address
1687 Erringer Rd Ste 215
Simi Valley, CA 93065
Phone
(805) 520-1191
Fax
(805) 426-8046
NPI assigned
May 30, 2006
Last updated
May 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A81723 CA Primary

Addresses

Primary practice location

1687 Erringer Rd Ste 215
Simi Valley, CA 93065

Mailing address

PO Box 77790
Corona, CA 92877-0126
Phone (951) 278-5590

Other identifiers 3

IdentifierTypeStateIssuer
A81723OtherCASTATE LICENSE
1851425862OtherCAMEDI-CAL
I55426OtherCAUPIN

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
I20060811000437 CA Practitioner - Infectious DiseasePractitioner - Internal Medicine 6709889710 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agra Medical Group ApcGroup PAC ID 7719343540, 3 clinicians

Practice addresses (Care Compare)

1687 Erringer Rd
Suite 215
Simi Valley, CA 93065-6510
Phone (805) 520-1191

7535 Laurel Canyon Blvd
N Hollywood, CA 91605-3149
Phone (818) 570-5002

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.97 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
66.55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A81723CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Agra Medical Group Apc CurrentSince Apr 3, 2023 Accepting new patients
Malini Soogoor, M.D. Inc Infectious Disease CurrentSince Mar 26, 2007 Accepting new patients
Hayvenhurst Infectious Dis. Inc. Infectious Disease Past Accepting new patients

Locations

420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647

7535 Laurel Canyon Blvd
North Hollywood, CA 91605
Phone (818) 308-9424

1687 Erringer Rd
Ste 215
Simi Valley, CA 93065
Phone (805) 520-1191

2650 Jones Way
Ste 6
Simi Valley, CA 93065
Phone (805) 520-1191

Interoperability endpoints

  • Direct secure messaging: msoogoor1@drsoogoor.officeally.direct
  • Direct secure messaging: msoogoor1358543@direct.uclahealth.org

Organizations & group practices 3

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1659328185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77790",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770126",
            "telephone_number": "951-278-5590",
            "fax_number": "951-272-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD STE 215",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-520-1191",
            "fax_number": "805-426-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOOGOOR",
        "first_name": "MALINI",
        "name_prefix": "Dr.",
        "credential": "M.D.,",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-30",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A81723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "A81723",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL",
            "identifier": "1851425862",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "I55426",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

Verify at the official NPI Registry.