Organization Active NPI

Sonia G Ponce Cardiology a Professional Corporation

  • Specialist
  • Chula Vista, CA
National Provider Identifier
1861096067
Registry record updated Sep 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SONIA G PONCE CARDIOLOGY A PROFESSIONAL CORPORATION
Practice address
227 Church Ave
Chula Vista, CA 91910-2702
Phone
(619) 754-9500
Fax
(619) 489-6177
NPI assigned
Nov 28, 2020
Last updated
Sep 4, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2024

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

Authorized official

Name
Dr. Sonia G Ponce, MDNPI 1164659033
Title
President
Phone
(208) 290-2310

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
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

227 Church Ave
Chula Vista, CA 91910-2702

Mailing address

340 4TH Ave Ste 11
Chula Vista, CA 91910-3813
Phone (619) 754-9500

Other identifiers 2

IdentifierTypeStateIssuer
1164659033OtherCACARDIOLOGY
1164659033MedicaidCA

Other names 1

  • Sonia Ponce MD Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Electronicmedicalrecords Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210318000570 CA Part B Supplier - Clinic/Group Practice 1850708868 Receives reassigned benefits from 4 practitioners
Practice locations: Chula Vista, CA

National Provider Directory

National Provider Directory

Locations

227 Church Ave
Chula Vista, CA 91910
Phone (619) 426-9610

340 Fourth Ave
Ste 11
Chula Vista, CA 91910
Phone (619) 422-6158

Practitioners & affiliated clinicians

Practitioners 4

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": "1606521600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725408000000",
    "number": "1861096067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 4TH AVE STE 11",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919103813",
            "telephone_number": "619-754-9500",
            "fax_number": "619-489-6177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 CHURCH AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919102702",
            "telephone_number": "619-754-9500",
            "fax_number": "619-489-6177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIA G PONCE CARDIOLOGY A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-28",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A",
        "authorized_official_last_name": "PONCE",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "208-290-2310",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARDIOLOGY",
            "identifier": "1164659033",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1164659033",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Electronicmedicalrecords",
            "affiliation": "N",
            "endpointDescription": "Electronicmedicalrecords",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "340 4th Ave Ste 11",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919103813",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sonia Ponce MD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Sonia Ponce MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; 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.