Provider Demographics
NPI:1104937572
Name:J. S. SONI, M.D., F.A.C.C. A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:J. S. SONI, M.D., F.A.C.C. A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOGINDER
Authorized Official - Middle Name:S
Authorized Official - Last Name:SONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:209-634-6555
Mailing Address - Street 1:2161 COLORADO AVE
Mailing Address - Street 2:SUITE D
Mailing Address - City:TURLOCK
Mailing Address - State:CA
Mailing Address - Zip Code:95382-2011
Mailing Address - Country:US
Mailing Address - Phone:209-634-6555
Mailing Address - Fax:209-634-2373
Practice Address - Street 1:2161 COLORADO AVE
Practice Address - Street 2:SUITE D
Practice Address - City:TURLOCK
Practice Address - State:CA
Practice Address - Zip Code:95382-2011
Practice Address - Country:US
Practice Address - Phone:209-634-6555
Practice Address - Fax:209-634-2373
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-31
Last Update Date:2012-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC42276207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1598788622OtherNPI #1
CA00C422760Medicaid
CA00C422760Medicare ID - Type UnspecifiedMEDICARE NUMBER
CA00C422760Medicaid