MRS. SONJA CLAR MELITA MOELLEKEN M.D. NPI 1114976578

NPI Information

NPI: 1114976578
Provider Name: MRS. SONJA CLAR MELITA MOELLEKEN, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
325 SACRAMENTO ST
SAN FRANCISCO, CA
ZIP 94111
Phone: (415) 533-6322
Get Directions

MRS. Sonja Clar Melita Moelleken, M.D. is a diagnostic radiology radiology in San Francisco, CA with 32 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MRS. Sonja Clar Melita Moelleken, M.D. NPI is 1114976578. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1992

The provider's business location address is:

325 SACRAMENTO ST
SAN FRANCISCO, CA
ZIP 94111-601
Phone: (415) 533-6322
Fax: (415) 533-6322

The NPI 1114976578 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/10/2006 and was last updated on 8/3/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		A3847231	CALIFORNIA	No
2	2085R0202X	Radiology	Diagnostic Radiology	A52411	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CB230889	MEDICARE PIN	CALIFORNIA
2	G49685	MEDICARE UPIN	CALIFORNIA
3	CA156755	MEDICARE PIN	CALIFORNIA
4	00A524110	OTHER	CALIFORNIA	BC/BS OF CA
5	1114976578	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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