Individual provider Active NPI

Christopher Wai Mun Soon, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Stanford, CA
National Provider Identifier
1972838399
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A109653 Issued in CA
Practice address
300 Pasteur Dr
Lane 235
Stanford, CA 94305-2200
Phone
(650) 723-7211
NPI assigned
Oct 4, 2009
Last updated
Nov 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X A109653 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A109653 CA Primary

Addresses

Primary practice location

300 Pasteur Dr
Lane 235
Stanford, CA 94305-2200

Mailing address

1024 Middle Ave
Apt C
Menlo Park, CA 94025-5165
Phone (650) 752-6532

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170711002544 CA Practitioner - Pathology 0446529259 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Hawaii John a. Burns School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1101 Van Ness Ave
San Francisco, CA 94109-6919
Phone (415) 600-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A109653CAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Pacific Pathology Medical Group Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2017 Accepting new patients
California Pacific Pathology Medical Group CurrentSince Jul 1, 2017 Accepting new patients

Locations

5176 Hill Rd E
Lakeport, CA 95453
Phone (707) 262-5000

180 Rowland Way
Novato, CA 94945
Phone (415) 209-1300

1101 Van Ness Ave
San Francisco, CA 94109
Phone (415) 485-8824

2333 Buchanan St
San Francisco, CA 94115
Phone (415) 563-4321

3555 Cesar Chavez
San Francisco, CA 94110
Phone (415) 485-8824

601 Duboce Ave
San Francisco, CA 94117
Phone (415) 600-0600

30 Mark West Springs Rd
Santa Rosa, CA 95403
Phone (707) 576-4000

Interoperability endpoints

  • Direct secure messaging: csoon371188@hisp.ehr.sutterhealth.org

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1254614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1972838399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1024 MIDDLE AVE",
            "address_2": "APT C",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940255165",
            "telephone_number": "650-752-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "address_2": "LANE 235",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOON",
        "first_name": "CHRISTOPHER",
        "middle_name": "WAI MUN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-10-04",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "CA",
            "license": "A109653",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A109653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.