Organization Active NPI

Malini Soogoor, M.D. Inc

  • Infectious Disease Physician
  • Simi Valley, CA
National Provider Identifier
1851425862
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A 81723 Issued in CA
Legal business name
MALINI SOOGOOR, M.D. INC
Practice address
1687 Erringer Rd Ste 215
Simi Valley, CA 93065
Phone
(805) 520-1191
Fax
(805) 426-8046
NPI assigned
Mar 15, 2007
Last updated
May 30, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Authorized official

Name
Dr. Malini Soogoor, M.D.NPI 1659328185
Title
President
Phone
(805) 520-1191

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X A 81723 CA Primary

Addresses

Primary practice location

1687 Erringer Rd Ste 215
Simi Valley, CA 93065

Mailing address

PO Box 77790
Corona, CA 92877-0126
Phone (800) 626-2468

Other identifiers 1

IdentifierTypeStateIssuer
00A817230MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070629000612 CA Part B Supplier - Clinic/Group Practice 7911006051 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA; Simi Valley, CA

National Provider Directory

National Provider Directory

Locations

2650 Jones Way
Ste 6
Simi Valley, CA 93065
Phone (805) 520-1191

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1851425862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 77790",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928770126",
            "telephone_number": "800-626-2468",
            "fax_number": "951-272-9924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1687 ERRINGER RD STE 215",
            "city": "SIMI VALLEY",
            "state": "CA",
            "postal_code": "93065",
            "telephone_number": "805-520-1191",
            "fax_number": "805-426-8046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MALINI SOOGOOR, M.D. INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "SOOGOOR",
        "authorized_official_first_name": "MALINI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-520-1191",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A 81723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A817230",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Simi Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.