Individual provider Active NPI

Karen Joyce Soriano, NP

  • Family Nurse Practitioner
  • Canyon Country, CA
National Provider Identifier
1073370417
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95028426 Issued in CA
Practice address
17228 Mount Stephen Ave
Canyon Country, CA 91387-3171
Phone
(661) 877-2794
NPI assigned
Mar 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95028426 CA Primary

Addresses

Primary practice location

17228 Mount Stephen Ave
Canyon Country, CA 91387-3171

Mailing address

17228 Mount Stephen Ave
Canyon Country, CA 91387-3171
Phone (661) 877-2794

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241115000271 CA Practitioner - Nurse Practitioner 7810421641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mend Health IncGroup PAC ID 6406160803, 14 clinicians

Practice addresses (Care Compare)

4312 Woodman Ave
Suite 102
Sherman Oaks, CA 91423-5523
Phone (818) 646-2562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95028426CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mend Health Inc CurrentSince Nov 20, 2024 Accepting new patients

Locations

1701 W Verdugo Ave
Burbank, CA 91506
Phone (310) 488-2830

13636 Ventura Blvd
Sherman Oaks, CA 91423
Phone (818) 763-9997

4312 Woodman Ave
Ste 102
Sherman Oaks, CA 91423
Phone (818) 205-9366

Interoperability endpoints

  • Direct secure messaging: karen.soriano.1@25159.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1073370417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17228 MOUNT STEPHEN AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873171",
            "telephone_number": "661-877-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17228 MOUNT STEPHEN AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913873171",
            "telephone_number": "661-877-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "KAREN",
        "middle_name": "JOYCE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95028426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

Verify at the official NPI Registry.