Active NPI
Mony Pheachnak Son, D.O.
- Hospitalist Physician
- Northridge, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A21867
- Practice address
- 18460 Roscoe Blvd FL 3
Northridge, CA 91325-4107 - Phone
- (818) 885-5480
- Fax
- (818) 993-1917
- NPI assigned
- May 15, 2022
- Last updated
- Sep 2, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | A21867 | CA | Primary |
Addresses
Primary practice location
18460 Roscoe Blvd FL 3
Northridge, CA 91325-4107
Mailing address
3400 Data Dr
Attention: Credentialing and Payer Enrollment Dept
Rancho Cordova, CA 95670
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
18460 Roscoe Blvd
FL 3
Northridge, CA 91325-4107
Phone (818) 885-5480
5601 De Soto Ave
Woodland Hills, CA 91367-6701
Phone (818) 719-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A21867 | CA | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients | |
| Dignity Health Medical Foundation | Current | Accepting new patients |
Locations
18460 Roscoe Blvd
Fl 2
Northridge, CA 91325
Phone (818) 885-5480
18460 Roscoe Blvd
Fl 3
Northridge, CA 91325
Phone (818) 885-5480
3400 Data Dr
Rncho Cordova, CA 95670
Phone (916) 379-2726
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mercy Medical Group, a service of Dignity Health Medical Foundation
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1700803418
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
dba Dignity Health Medical Group - Northridge, a service of Dignity Health
- Multi-Specialty Clinic/Center
- Northridge, CA
- NPI 1508222647
-
dba Dignity Health Medical Group - North State, a service of Dignity Healt
- Multi-Specialty Clinic/Center
- Redding, CA
- NPI 1912288432
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northridge Hospital Medical Center
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
- Home Health Agency
- Sun Valley, CA
- NPI 1033881917
-
- Community Based Hospice Care Agency
- Encino, CA
- NPI 1194869750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756771200000",
"number": "1710624465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"address_2": "ATTENTION: CREDENTIALING AND PAYER ENROLLMENT DEPT",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "95670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18460 ROSCOE BLVD FL 3",
"city": "NORTHRIDGE",
"state": "CA",
"postal_code": "913254107",
"telephone_number": "818-885-5480",
"fax_number": "818-993-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SON",
"first_name": "MONY",
"middle_name": "PHEACHNAK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-15",
"last_updated": "2025-09-02",
"certification_date": "2025-09-02",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A21867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Northridge, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.