SOOD KISRA, MD., PC. (NPI# 1558839779) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558839779 |
| Entity Type | Organization |
| Organization Name | SOOD KISRA, MD., PC. |
| Practice Address |
1800 Western Ave Ste 302 San Bernardino CA 92411-1354 |
| Mailing Address |
10950 Arrow Rte #1685 Rancho Cucamonga CA 91729 |
| Practice Telephone | 9097132323 |
| Enumeration Date | 2018-11-06 |
| Last Update Date | 2019-04-22 |
| Authorized Official Name | DR. SOOD KISRA (OWNER) |
| Authorized Official Telephone | 9097132323 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10950 Arrow Rte, Suite 1685, Rancho Cucamonga, CA 91729 | 9092689035 |
| Street Address |
1800 WESTERN AVE STE 302 |
| City | SAN BERNARDINO |
| State | CA |
| Zip Code | 92411-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992013270 | Hector Salemi-castro Md, Inc | Internal Medicine | 1800 Western Ave Ste 302, San Bernardino, CA 92411-1354 | 2010-09-20 |
| 1619243805 | Sood Kisra | Internal Medicine | 1800 Western Ave Ste 302, San Bernardino, CA 92411-1354 | 2012-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619537016 | Shaunice Renee Cox | Case Manager/Care Coordinator | 1604 Pennsylvania Street, San Bernardino, CA 92411 | 2019-06-18 |
| 1104327543 | Wilson Gomer M.d. Professional Medical Corporation | Clinic/Center | 1800 Western Ave Ste 103, San Bernardino, CA 92411 | 2018-02-21 |
| 1467883504 | Pedro Lynn Hayes | Nurse Practitioner | 1800 Medical Center Dr. #99, San Bernardono, CA 92411 | 2013-11-27 |
| 1184973505 | Maria G Villasenor Perez | Social Worker | 1002 W 7th St, San Bernardino, CA 92411 | 2012-08-30 |
| 1003140948 | Joe Mawad | Obstetrics & Gynecology | 1800 Western Ave Ste 204, San Bernardino, CA 92411 | 2009-09-24 |
| 1124255146 | Angie Bagheri Cook | Pediatrics | 565 N. Mount Vernon Ave, San Bernardino, CA 92411 | 2009-06-17 |
| 1770637365 | Paul Anthony Tenette | Pharmacist | Delta Drugs, 1666 N Medical Center Drive, San Bernadino, CA 92411 | 2007-01-22 |
| 1225117328 | Vinod Kumar Kaura | Internal Medicine | 1800 N Western Ave #303, San Bernardino, CA 92411 | 2006-11-02 |
| 1861582314 | Cecilia Talpa Quinones | Physician Assistant | 565 N. Mount Vernon Ave., San Bernardino, CA 92411 | 2006-10-13 |
| 1710075247 | Bramara Arya | Pediatrics | 1505 W. 17th Street, San Bernardino, CA 92411 | 2006-10-10 |
| Find all providers in zip 92411 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518448828 | Kamil Muhyieddeen, Md, Inc. | Internal Medicine | 2160 N Arrowhead Ave Unit 23048, San Bernardino, CA 92406-1255 | 2018-08-24 |
| 1083002166 | Inland Empire Cardiovascular Consultants, Inc. | Internal Medicine | 399 East Highland Ave, Suite 307, San Bernardino, CA 92404-3853 | 2014-12-24 |
| 1467773176 | Kamil Majdi Muhyieddeen | Internal Medicine | 399 E Highland Ave Ste 215, San Bernardino, CA 92404 | 2010-06-16 |
| 1861573990 | Paul Frederic Ryan | Internal Medicine | 399 E Highland Ave Ste 307, San Bernardino, CA 92404-3853 | 2006-10-17 |
| 1295249829 | Elite Cardiology Group Inc | Internal Medicine | 399 East Highland Avenue, Suite 215, San Bernardino, CA 92404 | 2017-11-17 |
| 1619243805 | Sood Kisra | Internal Medicine | 1800 Western Ave Ste 302, San Bernardino, CA 92411-1354 | 2012-04-01 |
| 1942384862 | Inland Heart and Vascular Medical Assoc Inc | Internal Medicine | 339 E Highland Ave, Suite 209, San Bernardino, CA 92404 | 2006-10-25 |
| 1316990609 | Los Angeles Cardiology Associates | Internal Medicine | 399 E Highland Ave, Suite 424, San Bernardino, CA 92404-3870 | 2006-05-18 |
| 1972573756 | Aaron Scott Jordan | Internal Medicine | 1700 North Waterman Avenue, San Bernardino, CA 92404-5105 | 2006-01-25 |
| 1619947306 | Stephen Jerome Estes | Internal Medicine | 1700 North Waterman Ave, San Bernardino, CA 92404-5105 | 2006-01-25 |
| Find all providers in SAN BERNARDINO | ||||
| City | SAN BERNARDINO |
| Zip Code | 92411 |
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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.