Individual provider Active NPI

Eric Sorenson, M.D.

  • MOHS-Micrographic Surgery Physician
  • Encinitas, CA
National Provider Identifier
1174918973
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
A149690 Issued in CA
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

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250501002706 CA Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 7618201831 Reassigns benefits to 2 organizations

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

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149690CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group CurrentSince Aug 4, 2025 Accepting new patients
Csi Medical Group Dermatology CurrentSince May 15, 2025 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 4, 2025 Accepting new patients
Carlsbad and Vista Dermatology, Inc. Dermatology CurrentSince May 15, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.