Active NPI
Eric Sorenson, M.D.
- MOHS-Micrographic Surgery Physician
- Encinitas, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- MOHS-Micrographic Surgery Physician
- License
- A149690
- Practice address
- 285 N El Camino Real Ste 117
Encinitas, CA 92024-5384 - Phone
- (760) 633-1000
- Fax
- (760) 753-8657
- NPI assigned
- Mar 30, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 304664 | NY | |
| Dermatology Physician | 207N00000X | A149690 | CA | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | 304664 | NY | |
| MOHS-Micrographic Surgery Physician | 207ND0101X | A149690 | CA | Primary |
Addresses
Primary practice location
285 N El Camino Real Ste 117
Encinitas, CA 92024-5384
Mailing address
1035 5TH Ave Ste C
New York, NY 10028-0135
Other practice location 1
1934 Via Ctr Ste B
Vista, CA 92081-6056
Phone (760) 295-2299
Other practice location 2
1035 5th Ave Ste C
New York, NY 10028-0135
Phone (212) 794-3548
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4647 Zion Ave
San Diego, CA 92120-2507
Phone (619) 528-5000
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A149690 | CA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Csi Medical Group | Dermatology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Carlsbad and Vista Dermatology, Inc. | Dermatology | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients |
Locations
285 N El Camino Real
Ste 117
Encinitas, CA 92024
Phone (760) 633-1000
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
4201 Torrance Blvd
Ste 640
Torrance, CA 90503
Phone (310) 375-9994
1934 Via Ctr
Ste B
Vista, CA 92081
Phone (760) 295-2299
Networks
- Healthfirst Medicare Network H9678
Interoperability endpoints
- esorenson@directaddress.net
Organizations & group practices 5
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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Dermatology Physician
- Vista, CA
- NPI 1124328505
-
- Health Maintenance Organization
- San Diego, CA
- NPI 1023425972
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745366400000",
"number": "1174918973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 5TH AVE STE C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100280135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "285 N EL CAMINO REAL STE 117",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245384",
"telephone_number": "760-633-1000",
"fax_number": "760-753-8657"
}
],
"practiceLocations": [
{
"address_1": "1934 Via Ctr Ste B",
"address_purpose": "LOCATION",
"city": "Vista",
"state": "CA",
"postal_code": "920816056",
"country_code": "US",
"telephone_number": "760-295-2299",
"fax_number": "760-216-5300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1035 5th Ave Ste C",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100280135",
"country_code": "US",
"telephone_number": "212-794-3548",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SORENSON",
"first_name": "ERIC",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2025-04-23",
"certification_date": "2025-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "304664",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CA",
"license": "A149690",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NY",
"license": "304664",
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "CA",
"license": "A149690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.