DR. SOGHOMONIAN'S MEDICAL CLINIC, INC. (NPI# 1770736712) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770736712 |
| Entity Type | Organization |
| Organization Name | DR. SOGHOMONIAN'S MEDICAL CLINIC, INC. |
| Practice Address |
2570 Jensen Ave Suite #117 Sanger CA 93657-2269 |
| Practice Telephone | 5598752601 |
| Practice Fax Number | 5592610596 |
| Mailing Telephone | 5598752601 |
| Mailing Fax Number | 5592610596 |
| Enumeration Date | 2008-11-03 |
| Last Update Date | 2008-11-03 |
| Authorized Official Name | DR. ARA K. SOGHOMONIAN (PRESIDENT) |
| Authorized Official Telephone | 5598752601 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
A50159 | CA | Ambulatory Health Care Facilities |
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
A50159 | CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 000A5015 | 05 |
| Street Address |
2570 JENSEN AVE SUITE #117 |
| City | SANGER |
| State | CA |
| Zip Code | 93657-2269 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356322911 | Cristina Lopez | Physician Assistant | 2570 Jensen Ave, Suite 102, Sanger, CA 93657-2269 | 2005-11-10 |
| 1164985404 | Miguel Alejandro Castro | Physician Assistant | 2570 Jensen Ave, Sanger, CA 93657-2269 | 2019-04-12 |
| 1073823100 | Shelly Tina Santoyo | Physician Assistant | 2570 Jensen Ave, Suite 106, Sanger, CA 93657-2269 | 2010-10-07 |
| 1275734550 | Rolando Witrado IIi | Physical Therapist | 2570 Jensen Ave, Suite #108, Sanger, CA 93657-2269 | 2007-05-31 |
| 1770798191 | Tejinder S Sandhu M D Inc | Obstetrics & Gynecology | 2570 Jensen Ave, Suite 103, Sanger, CA 93657-2269 | 2007-05-11 |
| 1689746208 | Bautista Rural Medical Clinics, Inc. | Physician Assistant | 2570 Jensen Ave, Suite 106, Sanger, CA 93657-2269 | 2006-11-15 |
| 1093820748 | Conrad Theodore Seitz | Family Medicine | 2570 Jensen Ave, Suite 106, Sanger, CA 93657-2269 | 2006-08-21 |
| 1295712206 | Luis Guerrero Bautista | Family Medicine | 2570 Jensen Ave, Sanger, CA 93657-2269 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568871853 | Bernardo Bretado | Counselor | 2017 Mary Street, Sanger, CA 93657 | 2014-08-12 |
| 1902238033 | Robin Christine Ploharz | Counselor | 1822 Jensen Ave #102-104, Sanger, CA 93657 | 2013-07-31 |
| 1629419833 | Elim Place, Inc. | Assisted Living Facility | 1808 5th Street, Sanger, CA 93657 | 2013-07-16 |
| 1568716793 | Paul Sylvan Cheney | Dentist | 620 S. Fairbanks Ave., Sanger, CA 93657 | 2012-11-09 |
| 1336409820 | Jocelyn Ann Mizunaka | Family Medicine | 1570 7th Street, Sanger, CA 93657 | 2012-05-18 |
| 1912216581 | Sampath Wijesinghe | Physician Assistant | 1393 Academy Ave, Sanger, CA 93657 | 2010-09-30 |
| 1528144185 | Daniel Richard Souza | Physical Therapist | 2570 Jensen A Ve #108, Sanger, CA 93657 | 2006-10-27 |
| 1023102654 | Herbert Lance Crooks | Dentist | 2434 Jensen, Sanger, CA 93657 | 2006-10-03 |
| 1689633174 | Donald T Negri Od Inc | Optometrist | 1329 8th St, Sanger, CA 93657 | 2006-03-22 |
| 1265400410 | Gurinder Pal Singh Narain | Internal Medicine | 800 N Street, Sanger, CA 93657 | 2006-03-14 |
| Find all providers in zip 93657 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.