Individual provider Active NPI

Vanna Soonthon-Brant, M.D.

  • Pediatric Anesthesiology Physician
  • Fresno, CA
National Provider Identifier
1730273434
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Anesthesiology PhysicianTaxonomy code 207LP3000X
License
A56101 Issued in CA
Practice address
6235 N Fresno St
Suite # 103
Fresno, CA 93710-5269
Phone
(559) 449-4350
Fax
(559) 449-4358
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Anesthesiology Physician 207LP3000X A56101 CA Primary

Addresses

Primary practice location

6235 N Fresno St
Suite # 103
Fresno, CA 93710-5269

Mailing address

6235 N Fresno St
Suite # 103
Fresno, CA 93710-5269
Phone (559) 449-4350

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ71868ZMedicaidCA

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
I20140719000147 CA Practitioner - Anesthesiology 7517183080 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group CurrentSince Nov 14, 2023 Accepting new patients
Pediatric Anesthesia Associates Medical Group Inc Pediatric Anesthesiology CurrentSince May 1, 2014 Accepting new patients
Community Foundation Medical Group CurrentSince Nov 14, 2023 Accepting new patients
Regional Anesthesia Associates Inc CurrentSince Jan 7, 2023 Accepting new patients
California Pediatric Anesthesia Consultants Pediatric Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
Valley Children's Medical Group Past Accepting new patients

Locations

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

9300 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 663-3700

2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251

540 E Herndon Ave
Ste 102
Fresno, CA 93720
Phone (559) 442-0855

6235 N Fresno St
Fresno, CA 93710
Phone (559) 229-3668

6235 N Fresno St
Ste 103
Fresno, CA 93710
Phone (559) 449-4350

7102 N Fresno St
Ste 108
Fresno, CA 93720
Phone (559) 297-2259

7766 N Palm Ave
Ste 104
Fresno, CA 93711
Phone (559) 250-8344

9300 Valley Childrens Pl
Madera, CA 93636
Phone (559) 353-5700

9300 Valley Childrens Pl
Ste FE10
Madera, CA 93636

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730273434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6235 N FRESNO ST",
            "address_2": "SUITE # 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105269",
            "telephone_number": "559-449-4350",
            "fax_number": "559-449-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 N FRESNO ST",
            "address_2": "SUITE # 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105269",
            "telephone_number": "559-449-4350",
            "fax_number": "559-449-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOONTHON-BRANT",
        "first_name": "VANNA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "CA",
            "license": "A56101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZZZ71868Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.