Active NPI
Nishant G Soni, M.D.
- Ophthalmology Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- A142511
- Practice address
- 1450 San Pablo St
4TH Floor
Los Angeles, CA 90033-4500 - Phone
- (323) 442-6335
- NPI assigned
- Aug 30, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Ophthalmology Physician | 207W00000X | A142511 | CA | Primary |
Addresses
Primary practice location
1450 San Pablo St
4TH Floor
Los Angeles, CA 90033-4500
Mailing address
PO Box 31309
Los Angeles, CA 90031-0309
Phone (323) 442-6335
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 N 13TH Ave
Upland, CA 91786-4904
Phone (909) 982-8846
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.15 of 100
- Quality
- 76.08
- Promoting interoperability
- 72
- Improvement activities
- 40
- Cost
- 75.13
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 140 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A142511 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pacific Eye Institute, a Medical Group, Inc. | Ophthalmology | Current | Accepting new patients |
| Beaver Valley Hospital | Past | Accepting new patients | |
| San Antonio Regional Hospital | Past | Accepting new patients |
Locations
16177 Kamana Rd
Apple Valley, CA 92307
Phone (760) 946-0618
15099 Kamana Rd
Apple Valley, CA 92307
1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425
12442 Limonite Ave
Unit 200
Eastvale, CA 91752
Phone (951) 737-4000
11959 Mariposa Rd
Hesperia, CA 92345
Phone (760) 956-1100
9481 Haven Ave
Ste 200
Rancho Cucamonga, CA 91730
Phone (909) 937-9230
8112 Milliken Ave
Ste 203
Rancho Cucamonga, CA 91730
Phone (909) 945-3563
41877 Enterprise Cir N
Ste 110
Temecula, CA 92590
Phone (951) 296-2244
591 N 13th Ave
Ste 1
Upland, CA 91786
Phone (909) 946-5320
591 N 13th Ave
Upland, CA 91786
Phone (909) 946-5320
555 N 13th Ave
Upland, CA 91786
Phone (909) 982-8846
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Ophthalmology Physician
- Upland, CA
- NPI 1962422709
-
- General Acute Care Hospital
- Upland, CA
- NPI 1780681189
-
- General Acute Care Hospital
- Beaver, UT
- NPI 1144436429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464220800000",
"number": "1861741381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 31309",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900310309",
"telephone_number": "323-442-6335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 SAN PABLO ST",
"address_2": "4TH FLOOR",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900334500",
"telephone_number": "323-442-6335"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONI",
"first_name": "NISHANT",
"middle_name": "G",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-08-30",
"last_updated": "2016-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "A142511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.