Individual provider Active NPI

Atherton L Sorrenti, D.C

  • Pediatric Chiropractor
  • San Diego, CA
National Provider Identifier
1033461348
Registry record updated Feb 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric ChiropractorTaxonomy code 111NP0017X
License
32499 Issued in CA
Practice address
12264 El Camino Real
Suite 108
San Diego, CA 92130-3060
Phone
(858) 481-0303
Fax
(858) 481-9797
NPI assigned
Oct 10, 2012
Last updated
Feb 27, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Chiropractor 111NP0017X 32499 CA Primary
Rehabilitation Chiropractor 111NR0400X 11972 TX

Addresses

Primary practice location

12264 El Camino Real
Suite 108
San Diego, CA 92130-3060

Mailing address

12264 El Camino Real
Suite 108
San Diego, CA 92130-3060
Phone (858) 481-0303

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11972TXMDRehabilitation Chiropractor
32499CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atherton Sorrenti DC CurrentSince Mar 21, 2015 Accepting new patients

Locations

2425 Camino del Rio S
Ste 180
San Diego, CA 92108
Phone (619) 294-2225

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488153600000",
    "number": "1033461348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL",
            "address_2": "SUITE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303060",
            "telephone_number": "858-481-0303",
            "fax_number": "858-481-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12264 EL CAMINO REAL",
            "address_2": "SUITE 108",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921303060",
            "telephone_number": "858-481-0303",
            "fax_number": "858-481-9797"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORRENTI",
        "first_name": "ATHERTON",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "D.C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-10",
        "last_updated": "2017-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111NP0017X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Pediatric Chiropractor",
            "state": "CA",
            "license": "32499",
            "primary": true
        },
        {
            "code": "111NR0400X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Rehabilitation",
            "state": "TX",
            "license": "11972",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.