Organization Active NPI

Soraya Anne Ross MD a Medical Corporation

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1073637575
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SORAYA ANNE ROSS MD A MEDICAL CORPORATION
Practice address
8631 W 3Rd St
Los Angeles, CA 90048-5901
Phone
(310) 888-1234
Fax
(310) 888-1227
NPI assigned
Mar 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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

Authorized official

Name
William Novak
Title
Billing Administrator
Phone
(724) 325-7060

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

8631 W 3Rd St
Los Angeles, CA 90048-5901

Mailing address

8920 Wilshire Blvd Ste 321
Beverly Hills, CA 90211-2003
Phone (310) 888-1234

National Provider Directory

National Provider Directory
Tax ID family
Soraya Anne Ross MD a Medical Corporation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

8920 Wilshire Blvd
Ste 321
Beverly Hills, CA 90211
Phone (310) 652-8084

465 N Roxbury Dr
Ste 1002
Beverly Hills, CA 90210

NPI Registry JSON

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

{
    "created_epoch": "1174262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737590400000",
    "number": "1073637575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8920 WILSHIRE BLVD STE 321",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902112003",
            "telephone_number": "310-888-1234",
            "fax_number": "310-888-1227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8631 W 3RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900485901",
            "telephone_number": "310-888-1234",
            "fax_number": "310-888-1227"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORAYA ANNE ROSS MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-19",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A",
        "authorized_official_last_name": "NOVAK",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "724-325-7060"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2025; 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.