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

Q: 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.

Q: What is Kenneth Soda's specialty?

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

Q: 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.

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: October 25, 2026.

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

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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

Phone(805) 739-3561

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Kenneth Soda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

County Of Santa Clara

156 mi

Federally Qualified Health Center (FQHC)

7475 CAMINO ARROYO
Gilroy, CA 95020

Reassigned Medicare billing, California enrollment
Also billed through NPI 1629301346 (California)
2,460 clinicians in this Medicare group

NPI 1922093533 (408) 885-5000

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 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.

DR. ROBERT MICHAEL TURBOW M.D.

Pediatrics (Neonatal-Perinatal Medicine)