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NPI Code Detail

MEDICARE: WILLIAM S SOGAARD MD

MEDICARE: WILLIAM S SOGAARD MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianG79732CA
2208M00000XHospitalist PhysicianG79732CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2AV738YOTHERCAPALMETTO GBA: MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1922079755
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM S SOGAARD MD
Provider Business Mailing Address
First Line : 2100 POWELL ST STE 400
Second Line :
City : EMERYVILLE
State : CA
Zip : 94608-1872
Country : US
Telephone Number : 510-851-7501
Fax Number : 510-851-7501
Provider Business Practice Location Address
First Line : 2100 POWELL ST STE 400
Second Line :
City : EMERYVILLE
State : CA
Zip : 94608-1872
Country : US
Telephone Number : 510-851-7501
Fax Number : 510-851-7446
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/30/2006
Last Update Date : 01/11/2023

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Directions to “ WILLIAM S SOGAARD MD” Practice Location

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