NPIMap

Individual provider Active NPI

Eric N Sorensen, M.D.

  • Family Medicine Physician
  • Hanford, CA
National Provider Identifier
1063521896
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A34991 Issued in CA
Practice address
1028 N Douty St
Hanford, CA 93230-3723
Phone
(559) 589-6420
Fax
(559) 589-6425
NPI assigned
Aug 29, 2006
Last updated
Jul 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A34991 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
00A449910OtherCAMEDI/CAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080711000357 CA Practitioner - Family PracticePractitioner - General Practice 1658443379 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: General Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eric N. Sorensen M.D. Inc.Group PAC ID 3072401488, 6 clinicians
Central Coast Urgent Care IncGroup PAC ID 2264561125, 12 clinicians

Practice addresses (Care Compare)

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

783 Quintana Rd
Suite 1
Morro Bay, CA 93442-1968
Phone (805) 771-0108

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions17
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A34991CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eric N Sorensen M.D. Inc. Family Medicine CurrentSince May 19, 2003 Accepting new patients
Contemporary Family Practice Inc CurrentSince Dec 1, 2015 Accepting new patients
Kings Medical Center Past Accepting new patients
Reedley Community Hospital Past Accepting new patients
Kings Industrial Occupational Medical Center Inc Past Accepting new patients

Locations

1028 N Douty St
Hanford, CA 93230
Phone (559) 530-2526

1028 N Douty St
Ofc 1
Hanford, CA 93230
Phone (559) 530-2526

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

1560 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 573-8523

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658966400000",
    "number": "1063521896",
    "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",
            "fax_number": "559-589-6425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "ERIC",
        "middle_name": "N",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2022-07-28",
        "certification_date": "2022-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A34991",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI/CAL NUMBER",
            "identifier": "00A449910",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

Verify at the official NPI Registry.