Robert Hale Sorosky, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

G11186 Issued in CA

Practice address

1330 San Bernardino Rd
Suite C
Upland, CA 91786-4928

Phone

(909) 981-8985

Fax

(929) 949-4550

NPI assigned

Jul 13, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Robert H. Sorosky M.D. Inc.

  • Specialist
  • Upland, CA
  • NPI 1063575926
  Authorized official Same address or phone

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073538476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO RD",
            "address_2": "SUITE C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864928",
            "telephone_number": "909-981-8985",
            "fax_number": "929-949-4550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 SAN BERNARDINO RD",
            "address_2": "SUITE C",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917864928",
            "telephone_number": "909-981-8985",
            "fax_number": "929-949-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROSKY",
        "first_name": "ROBERT",
        "middle_name": "HALE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "G11186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Upland, CA
• Providers in Upland, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.