KENNETH M SODA
NPI 1447387477
Family Medicine in Santa Maria, CA

Active since February 27, 2007PECOS Enrolled
235 S PALISADE DR, SANTA MARIA, CA 93454(805) 739-3561 Get Directions Write a Review

NPPES record last updated: July 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2022, Jun 24, 2021, Dec 10, 2020 (3 updates tracked since 2020).

About Kenneth M Soda NPPES

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

KENNETH M SODA (NPI 1447387477) is an individual family medicine provider in Santa Maria, California, licensed in California (A72328) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Westminster.

NPPES Registry Identity

NPI1447387477
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKENNETH M SODA
Location Address235 S PALISADE DRSanta Maria, CA 93454
Mailing Address1414 E Main St Ste 201Santa Maria, CA 93454-4890
Sole ProprietorNo
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 11, 20223 updates tracked since enumeration
NPPES CertifiedJuly 11, 2022
NPI 1447387477 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 · A72328 Licensed in CO · 39948
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.
235 S PALISADE DR, Santa Maria, CA 93454

Secondary Practice Location 1

Location 18510 Bryant St, Suite 210Westminster, CO 80031-3844 · Phone (303) 430-6015 · Fax (303) 430-6001

Other Identifiers 1

Medicaid76434354CO

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kenneth M Soda 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93454 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
$94.71 typical visit price
range $62.01 – $184.40
Typical copayment $23.67 (range $15.50 – $46.10)
Most-billed visit code 99203
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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.

Pediatrics (Neonatal-Perinatal Medicine)
235 S PALISADE DR
SANTA MARIA, CA 93454
Pediatrics (Neonatal-Perinatal Medicine)
235 S PALISADE DR
SANTA MARIA, CA 93454
Family Medicine
235 S PALISADE DR
SANTA MARIA, CA 93454
Student in an Organized Health Care Education/Training Program
235 S PALISADE DR
SANTA MARIA, CA 93454
Hospitalist
235 S PALISADE DR
SANTA MARIA, CA 93454
Student in an Organized Health Care Education/Training Program
235 S PALISADE DR
SANTA MARIA, CA 93454
Family Medicine
235 S PALISADE DR
SANTA MARIA, CA 93454
Family Medicine
235 S PALISADE DR
SANTA MARIA, CA 93454

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 Kenneth Soda's NPI number?

The NPI number for Kenneth Soda is 1447387477. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Kenneth Soda located?

Kenneth Soda practices at 235 S Palisade Dr, Santa Maria, CA 93454. The listed phone number is (805) 739-3561.

What is Kenneth Soda's specialty?

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

Is Kenneth Soda enrolled in Medicare?

Yes. Kenneth Soda is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenneth Soda was last updated on July 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.