MARK SOONTORNVACHRIN
NPI 1609987585
Ophthalmology in Vista, CA
About Mark Soontornvachrin NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MARK SOONTORNVACHRIN (NPI 1609987585) is an individual ophthalmology provider in Vista, California, licensed in California (A112148) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mark Soontornvachrin is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Mark Soontornvachrin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 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 92083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Mark Soontornvachrin's NPI number?
The NPI number for Mark Soontornvachrin is 1609987585. It was assigned to this individual provider in the NPPES registry on August 31, 2006.
Where is Mark Soontornvachrin located?
Mark Soontornvachrin practices at 780 Shadowridge Dr, Vista, CA 92083. The listed phone number is (844) 424-1867.
What is Mark Soontornvachrin's specialty?
The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.
Is Mark Soontornvachrin enrolled in Medicare?
Yes. Mark Soontornvachrin is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Mark Soontornvachrin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Mark Soontornvachrin reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The 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 Mark Soontornvachrin'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 Mark Soontornvachrin was last updated on November 30, 2021. 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.
# Mark Soontornvachrin · NPI 1609987585
Ophthalmology physician in Vista, California. Individual provider, active in the CMS NPPES registry since August 31, 2006.
## Identity
- **NPI:** 1609987585 (Entity type: Individual)
- **Enumerated:** August 31, 2006
- **Primary specialty:** Ophthalmology · taxonomy 207W00000X
- **State license:** A112148 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 780 SHADOWRIDGE DR, Vista, CA 92083-7986
- **Phone:** (844) 424-1867
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** November 30, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1609987585) · Data from the CMS NPPES public registry.