Vicki Lynn Sontag, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

91-PA01 Issued in NM

Practice address

7788 Jefferson St NE
Albuquerque, NM 87109-4342

Phone

(505) 999-1600

Fax

(505) 999-1650

NPI assigned

Sep 25, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1356566400000",
    "number": "1861592115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7788 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094342",
            "telephone_number": "505-999-1600",
            "fax_number": "505-999-1650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7788 JEFFERSON ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094342",
            "telephone_number": "505-999-1600",
            "fax_number": "505-999-1650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONTAG",
        "first_name": "VICKI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2012-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NM",
            "license": "91-PA01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Michelle Sonnenberg, LCSW
• Kyoko Sonoda, MA
• Sonographic Consultants Inc
• Sonography Services Inc.
• Cynthia Sontag, MSWAC, LCSW, SAP
• Akshay Sood
• Vanita Sood, M.D.
• Susan Sophia, O.T.
• Sophie R. Wagner, NM Speech-Language Pathologist, LLC
• Karen S Sopko, MD

• Medical Physician Assistant in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Medical Physician Assistant in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.