Active NPI
Malini Soogoor, M.D. Inc
- Infectious Disease Physician
- Simi Valley, CA
National Provider Identifier
1851425862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- A 81723
- 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, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Malini Soogoor, M.D.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A817230 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Infectious Disease Physician
- Simi Valley, CA
- NPI 1659328185
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.