DR. SANJAY SOOD M.D.
NPI 1255451811
Family Medicine in Porterville, CA

Active since March 29, 2007PECOS Enrolled
1107 W POPLAR AVE, PORTERVILLE, CA 93257(559) 781-7242(559) 793-3174 Get Directions Write a Review

NPPES record last updated: April 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2024, Mar 9, 2022, Nov 29, 2019 and 1 more (4 updates tracked since 2018).

About Dr. Sanjay Sood M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SANJAY SOOD M.D. (NPI 1255451811) is an individual family medicine provider in Porterville, California, licensed in California (A60939) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1255451811
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. SANJAY SOODCredential: M.D.
Location Address1107 W POPLAR AVEPorterville, CA 93257-5839
Mailing Address2015 Grand ConcourseBronx, NY 10453-4303 · (718) 299-7295
Fax(559) 793-3174
Sole ProprietorNo
Enumeration DateMarch 29, 2007
Last NPPES UpdateApril 18, 20254 updates tracked since enumeration
NPPES CertifiedApril 18, 2025
✔ NPI 1255451811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A60939✔ Licensed in NY · 197637✔ Licensed in MD · D55869
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1107 W POPLAR AVE, Porterville, CA 93257

Secondary Practice Locations 4

Location 1975 Westchester AveBronx, NY 10459-3204 · Phone (718) 320-4466 · Fax (718) 991-3829
Location 22015 Grand ConcourseBronx, NY 10453-4303 · Phone (718) 299-7295
Location 3104 Plumtree Rd Ste 115Bel Air, MD 21015-6095 · Phone (410) 515-4300 · Fax (410) 601-1052
Location 41513 Fremont Blvd # E1Seaside, CA 93955-4319 · Phone (831) 899-1910

Other Identifiers 1

Medicaid05283394NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sanjay Sood M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

7

Medicare enrollment records show Sanjay Sood reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
1107 W POPLAR AVE
Porterville, CA 93257
  • Reassigned Medicare billing, California enrollment
  • 276 clinicians in this Medicare group
Urgent Care
1212 S MAIN ST
Salinas, CA 93901
  • Reassigned Medicare billing, California enrollment
  • 87 clinicians in this Medicare group
Otolaryngology
504 E RIDGEVILLE BLVD STE 110
Mount Airy, MD 21771
  • Reassigned Medicare billing, Maryland enrollment
  • 317 clinicians in this Medicare group
Geriatric Medicine
15245 SHADY GROVE RD, SUITE 130
Rockville, MD 20850
  • Reassigned Medicare billing, District of Columbia and Maryland enrollments
  • 28 clinicians in this Medicare group
Family Medicine
8011 NEW HAMPSHIRE AVE
Hyattsville, MD 20783
  • Reassigned Medicare billing, District of Columbia enrollment
  • 12 clinicians in this Medicare group
Legal Medicine
2015 GRAND CONCOURSE
Bronx, NY 10453
  • Reassigned Medicare billing, New York enrollment
  • 1,393 clinicians in this Medicare group
Internal Medicine
2626 HALPERIN AVE
Bronx, NY 10461
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Bronx Medical Practice PC
  • 1,013 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93257 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Clinic/Center (Federally Qualified Health Center (FQHC))
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Nurse Practitioner (Family)
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Family Medicine
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Physician Assistant
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Nurse Practitioner (Family)
1107 W POPLAR AVE
PORTERVILLE, CA 93257
Physician Assistant (Medical)
1107 W POPLAR AVE, C/O FAMILY HEALTHCARE NETWORK
PORTERVILLE, CA 93257
Physician Assistant
1107 W POPLAR AVE
PORTERVILLE, CA 93257

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sanjay Sood's NPI number?

The NPI number for Sanjay Sood is 1255451811. It was assigned to this individual provider in the NPPES registry on March 29, 2007.

Where is Sanjay Sood located?

Sanjay Sood practices at 1107 W Poplar Ave, Porterville, CA 93257. The listed phone number is (559) 781-7242.

What is Sanjay Sood's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sanjay Sood enrolled in Medicare?

Yes. Sanjay Sood is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Sanjay Sood's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Sood reassigns Medicare benefits to 7 organizations: Family Healthcare Network (Porterville, CA), Doctors On Duty Medical Group, Inc (Salinas, CA), Lifebridge Community Physicians Inc (Mount Airy, MD), Ravi Passi MD PC (Rockville, MD), Familys Urgent Care (Hyattsville, MD) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sanjay Sood's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Sanjay Sood was last updated on April 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.