Active NPI
Sonny Nijjar, M.D.
- Hospitalist Physician
- Oakland, CA
National Provider Identifier
1790196756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A146388
- Practice address
- 350 Hawthorne Ave RM 2346
Oakland, CA 94609-3108 - Phone
- (510) 869-6883
- NPI assigned
- May 13, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A146388 | CA | |
| Hospitalist Physician | 208M00000X | A146388 | CA | Primary |
Addresses
Primary practice location
350 Hawthorne Ave RM 2346
Oakland, CA 94609-3108
Mailing address
317 S Clinton St Apt 4B
Syracuse, NY 13202-1283
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A146388 | CA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1399939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1508976000000",
"number": "1790196756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "317 S CLINTON ST APT 4B",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132021283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 HAWTHORNE AVE RM 2346",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946093108",
"telephone_number": "510-869-6883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIJJAR",
"first_name": "SONNY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-13",
"last_updated": "2017-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A146388",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A146388",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.