Individual provider Active NPI

Datar Singh Sodhi, M.D.

  • Pulmonary Disease Physician
  • West Covina, CA
National Provider Identifier
1811928542
Registry record updated Dec 22, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
A34032 Issued in CA
Practice address
741 S Orange Ave FL 1
West Covina, CA 91790-2662
Phone
(626) 960-7117
Fax
(626) 813-1038
NPI assigned
Jul 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X A34032 CA Primary
Sleep Medicine (Internal Medicine) Physician 207RS0012X A34032 CA
Internal Medicine Physician 207R00000X A34032 CA

Addresses

Primary practice location

741 S Orange Ave FL 1
West Covina, CA 91790-2662

Mailing address

741 S Orange Ave FL 1
West Covina, CA 91790-2662
Phone (626) 960-7117

Other identifiers 1

IdentifierTypeStateIssuer
A00340320MedicaidCA

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
I20091211000629 CA Practitioner - Internal MedicinePractitioner - Pulmonary Disease 0446390066

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A34032CAMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Datar S. Sodhi, M.D.,Inc. Internal Medicine CurrentSince May 20, 2009 Accepting new patients

Locations

741 S Orange Ave
West Covina, CA 91790
Phone (626) 221-1392

741 S Orange Ave
Fl 1
West Covina, CA 91790
Phone (626) 338-8484

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1811928542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 S ORANGE AVE FL 1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902662",
            "telephone_number": "626-960-7117",
            "fax_number": "626-813-1038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 S ORANGE AVE FL 1",
            "city": "WEST COVINA",
            "state": "CA",
            "postal_code": "917902662",
            "telephone_number": "626-960-7117",
            "fax_number": "626-813-1038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SODHI",
        "first_name": "DATAR",
        "middle_name": "SINGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "A34032",
            "primary": true
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "A34032",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A34032",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A00340320",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Covina, CA

Sources for this page

Verify at the official NPI Registry.