Alex Soffici, M.D.

Key facts

NPI

1679527113

Entity type

Individual (NPI type 1)

Primary specialty

Maternal & Fetal Medicine Physician 207VM0101X

License

A65077 (CA)

Practice address

316 W Junipero St
Santa Barbara, CA 93105-4305

Phone

(805) 898-0258

Fax

(805) 898-2048

NPI assigned

May 20, 2006

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Obstetrix Medical Group of the Central Coast Professional Corporation Maternal & Fetal Medicine Physician · Orange, CA · NPI 1790970416
  Medicare reassignment Care Compare group CA
• Central Coast Perinatal Medical Group Inc Maternal & Fetal Medicine Physician · Santa Barbara, CA · NPI 1861617045
  NPD (past) OBSTETRICS & GYNECOLOGY
• Sansum Clinic Ambulatory Surgical Clinic/Center · Santa Barbara, CA · NPI 1649296807
  NPD (past)
• Usc Care Medical Group, Inc General Practice Physician · Los Angeles, CA · NPI 1902846306
  NPD (past) OBSTETRICS & GYNECOLOGY

Medicare Care Compare profile

Specialty

Obstetrics/Gynecology

Education

University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Obstetrix Medical Group of the Central Coast Professional Corporation (5 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles (3 of 4)

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: alex.sofficimd.p101@direct.mednax.nextgenshare.com

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 30, 2015.

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438214400000",
    "number": "1679527113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6272",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931606272",
            "telephone_number": "805-898-0258",
            "fax_number": "805-898-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 W JUNIPERO ST",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931054305",
            "telephone_number": "805-898-0258",
            "fax_number": "805-898-2048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOFFICI",
        "first_name": "ALEX",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-20",
        "last_updated": "2015-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G65077",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "A65077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861617045",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Santa Barbara, CA · Maternal & Fetal Medicine Physician in California