Sonic Wave, LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

SONIC WAVE, LLC

Practice address

626 W Lancaster Blvd Ste 146
Lancaster, CA 93534-3108

Phone

(818) 220-1779

Fax

(818) 698-8883

NPI assigned

Apr 9, 2024

Last updated

Apr 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Susana Espino GonzalesNPI 1043738339

Title

Secretary

Phone

(626) 497-2773

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 3

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.

• Maria Susana Espino Gonzales

  • Physiological Laboratory
  • Montebello, CA
  • NPI 1043738339
  NPD Authorized official
• David Herschel Berns, MD

  • Diagnostic Radiology Physician
  • Beachwood, OH
  • NPI 1518924737
  NPD
• Anthony B Bullard, MD

  • Diagnostic Radiology Physician
  • Grand Junction, CO
  • NPI 1376590927
  NPD

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

{
    "created_epoch": "1712620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713312000000",
    "number": "1902659972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 W LANCASTER BLVD STE 146",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343108",
            "telephone_number": "818-220-1779",
            "fax_number": "818-698-8883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 W LANCASTER BLVD STE 146",
            "city": "LANCASTER",
            "state": "CA",
            "postal_code": "935343108",
            "telephone_number": "818-220-1779",
            "fax_number": "818-698-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONIC WAVE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-09",
        "last_updated": "2024-04-17",
        "certification_date": "2024-04-17",
        "status": "A",
        "authorized_official_last_name": "GONZALES",
        "authorized_official_first_name": "MARIA SUSANA",
        "authorized_official_middle_name": "ESPINO",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "626-497-2773"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maritza Solis
• Melody Solis
• Adrian Soliven
• Samantha Soltero Haro
• Jina Song
• Sonus-USA, Inc.
• Soo T Park DDS Inc (Park Dental Group)
• Krisana Sookpisal
• Beth Sopkin
• Carole Sopp

• Physiological Laboratory in Lancaster, CA
• Providers in Lancaster, CA by specialty
• Physiological Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.