Sophie Desroches, RDN

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

1011980 Issued in CA

Practice address

147 N Brent St
Ventura, CA 93003-2809

Phone

(805) 652-5066

Fax

(805) 641-1706

NPI assigned

Dec 11, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Registered Dietitian Or Nutrition Professional

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Memorial Health SystemGroup PAC ID 9537155676, 187 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Community Memorial Health System

  dba Community Memorial Hospital - Ventura

  • General Acute Care Hospital
  • Ventura, CA
  • NPI 1215903018
  Medicare reassignment Care Compare group
• Community Memorial Health System

  • Gynecologic Oncology Physician
  • Ventura, CA
  • NPI 1619453982
  NPD

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

{
    "created_epoch": "1386720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1154752400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 N BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032809",
            "telephone_number": "805-652-5066",
            "fax_number": "805-641-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 N BRENT ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930032809",
            "telephone_number": "805-652-5066",
            "fax_number": "805-641-1706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESROCHES",
        "first_name": "SOPHIE",
        "credential": "RDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-12-11",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "CA",
            "license": "1011980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATE",
            "identifier": "1011980",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Desai, M.D.
• Mark A. Desanti, M.D.
• Vanessa Desantis
• Danielle Deshon, DPT
• Euciane Lelis Desouza-Walden, LMFT
• Destinations to Recovery, LLC
• Steven Dennis Destler, D.D.S.
• Stacey Devening, LMFT
• Angela Devita, PHD, LMFT, ATR
• John R Dexter, MD

• Registered Dietitian in Ventura, CA
• Providers in Ventura, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.