Organization Active NPI

Sandeep Sodhi MD Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Newport Beach, CA
National Provider Identifier
1891259529
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
Legal business name
SANDEEP SODHI MD INC
Practice address
369 San Miguel Dr Ste 200
Newport Beach, CA 92660-7850
Phone
(949) 630-0008
Fax
(281) 393-4025
NPI assigned
Jan 28, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Authorized official

Name
Sandeep Sodhi, MDNPI 1710108881
Title
Endocrinologist
Phone
(714) 253-2777

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
Endocrinology, Diabetes & Metabolism PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RE0101X Primary

Addresses

Primary practice location

369 San Miguel Dr Ste 200
Newport Beach, CA 92660-7850

Mailing address

21163 Newport Coast Dr # 176
Newport Coast, CA 92657-1123

Other practice location 1

1140 W La Veta Ave Ste 540
Orange, CA 92868-4221
Phone (949) 630-0008

Other practice location 2

1820 Fullerton Ave Ste 230
Corona, CA 92881-3147
Phone (949) 630-0008

Other names 1

  • NEW AGE ENDOCRINOLOGY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190729002165 CA Part B Supplier - Clinic/Group Practice 2365778321 Receives reassigned benefits from 1 practitioner
Practice locations: Corona, CA; Santa Ana, CA; Newport Beach, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714089600000",
    "number": "1891259529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21163 NEWPORT COAST DR # 176",
            "city": "NEWPORT COAST",
            "state": "CA",
            "postal_code": "926571123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "369 SAN MIGUEL DR STE 200",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607850",
            "telephone_number": "949-630-0008",
            "fax_number": "281-393-4025"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1140 W La Veta Ave Ste 540",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928684221",
            "country_code": "US",
            "telephone_number": "949-630-0008",
            "fax_number": "281-393-4025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 Fullerton Ave Ste 230",
            "address_purpose": "LOCATION",
            "city": "Corona",
            "state": "CA",
            "postal_code": "928813147",
            "country_code": "US",
            "telephone_number": "949-630-0008",
            "fax_number": "281-393-4025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SANDEEP SODHI MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-28",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "SODHI",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_title_or_position": "ENDOCRINOLOGIST",
        "authorized_official_telephone_number": "714-253-2777",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "NEW AGE ENDOCRINOLOGY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "NEW AGE ENDOCRINOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 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.