Gregg S. Sorensen, MD
Organization Active NPI Family Medicine Physician · Bay Point, CA
NPI 1043494016 · NPPES record last updated Dec 26, 2007
Key facts
- NPI
- 1043494016
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- G55173 (CA)
- Legal business name
- GREGG S. SORENSEN, MD
- Practice address
- 53 Manor Dr
Suite a
Bay Point, CA 94565-6647 - Phone
- (925) 458-6125
- Fax
- (925) 458-8513
- NPI assigned
- Dec 26, 2007
- Organization subpart
- No
Authorized official
- Name
- Gregg Synder Sorensen, M.D.
- Title
- Physician/Owner
- Phone
- (925) 890-3356
Practitioners 2
-
William John Britt, PA-C
-
Frances W Matthews, FNP
National Provider Directory
Locations
53 Manor Dr
Ste A
Bay Point, CA 94565
Phone (510) 458-6125
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | G55173 | CA | Yes |
Addresses
Primary practice location
53 Manor Dr
Suite a
Bay Point, CA 94565-6647
Mailing address
53 Manor Dr
Suite a
Bay Point, CA 94565-6647
Phone (925) 890-3356
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0030700 | Medicaid | CA |
Other names
- Willow Pass Medical Group
Other providers in Bay Point, CA
- Fred Finch Youth Center
- Diana Lisbeth Gallo
- Haroon Ghiasi
- Rosa Maria Gonzalez
- Sonia Gonzalez
- Christen Gruber
- Primrose Rhea F Guinto
- Cynthia White Hecker
- Rumuel Hernaez
- Miata Holmes
All providers in Bay Point, CA · Family Medicine Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 26, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.