Organization Active NPI

Mission Infectious Disease & Infusion Consultants Inc

  • Infectious Disease Physician
  • Poway, CA
National Provider Identifier
1982900973
Registry record updated May 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
A106937 Issued in CA
Legal business name
MISSION INFECTIOUS DISEASE & INFUSION CONSULTANTS INC
Practice address
15644 Pomerado Rd
Suite 202
Poway, CA 92064-2400
Phone
(858) 312-5459
Fax
(858) 345-3743
NPI assigned
Feb 8, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2013

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

Authorized official

Name
Sandeep Ashu Soni, M.D.NPI 1285716332
Title
Ceo
Phone
(858) 312-5459

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X A106937 CA
Infectious Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0200X A106937 CA Primary

Addresses

Primary practice location

15644 Pomerado Rd
Suite 202
Poway, CA 92064-2400

Mailing address

PO Box 1770
La Mesa, CA 91944-1770
Phone (619) 464-1165

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110401000714 CA Part B Supplier - Clinic/Group Practice 6800070624 Receives reassigned benefits from 4 practitioners
Practice locations: Poway, CA

National Provider Directory

National Provider Directory

Locations

15611 Pomerado Rd
Ste 510
Poway, CA 92064
Phone (858) 312-5459

Practitioners & affiliated clinicians

Practitioners 5

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": "1297123200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369785600000",
    "number": "1982900973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1770",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919441770",
            "telephone_number": "619-464-1165",
            "fax_number": "619-567-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15644 POMERADO RD",
            "address_2": "SUITE 202",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642400",
            "telephone_number": "858-312-5459",
            "fax_number": "858-345-3743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION INFECTIOUS DISEASE & INFUSION CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-08",
        "last_updated": "2013-05-29",
        "status": "A",
        "authorized_official_last_name": "SONI",
        "authorized_official_first_name": "SANDEEP",
        "authorized_official_middle_name": "ASHU",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-312-5459",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A106937",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "A106937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2013; 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.