Organization Active NPI

Eric N Sorensen M.D. Inc.

  • Family Medicine Physician
  • Hanford, CA
National Provider Identifier
1053420810
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34491 Issued in CA
Legal business name
ERIC N SORENSEN M.D. INC.
Practice address
1028 N Douty St
Hanford, CA 93230-3723
Phone
(559) 589-6420
NPI assigned
Aug 29, 2006
Last updated
Mar 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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

Authorized official

Name
Gerald G Williams
Title
Cred / Contracting
Phone
(559) 303-8683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A34491 CA Primary

Addresses

Primary practice location

1028 N Douty St
Hanford, CA 93230-3723

Mailing address

1028 N Douty St
Hanford, CA 93230-3723
Phone (559) 589-6420

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ27826ZOtherCAMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040308000943 CA Part B Supplier - Clinic/Group Practice 3072401488 Receives reassigned benefits from 8 practitioners
Practice locations: Hanford, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680048000000",
    "number": "1053420810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1028 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303723",
            "telephone_number": "559-589-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 N DOUTY ST",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303723",
            "telephone_number": "559-589-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ERIC N SORENSEN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-29",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "GERALD",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CRED / CONTRACTING",
        "authorized_official_telephone_number": "559-303-8683"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "ZZZ27826Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.