Individual provider Active NPI

Gina Sobretodo, FNP

  • Family Nurse Practitioner
  • El Segundo, CA
National Provider Identifier
1184146243
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007697 Issued in CA
Practice address
300 Continental Blvd Ste 635
El Segundo, CA 90245-5040
Phone
(562) 335-2730
NPI assigned
Jul 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 801746 CA
Family Nurse Practitioner 363LF0000X 95007697 CA Primary

Addresses

Primary practice location

300 Continental Blvd Ste 635
El Segundo, CA 90245-5040

Mailing address

4207 Terrabella Way
Oakland, CA 94619-3168
Phone (626) 893-7120

Other practice location 1

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

Other practice location 2

2213 Buchanan Rd
Antioch, CA 94509-4265
Phone (925) 303-4780

Other practice location 3

3478 Buskirk Ave Ste 105
Pleasant Hill, CA 94523-4345
Phone (945) 448-3704

Other practice location 4

2727 MacDonald Ave
Richmond, CA 94804-3006
Phone (510) 213-6681

Other practice location 5

395 Oyster Point Blvd Ste 512
South San Francisco, CA 94080-1973
Phone (650) 826-2945

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191030003295 CA Practitioner - Nurse Practitioner 1759613391 Reassigns benefits to 6 organizations
I20230922003061 MI Practitioner - Nurse Practitioner 1759613391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Greater Good Health PC IncGroup PAC ID 5294106027, 48 clinicians
Villagehealth DM LLCGroup PAC ID 2769812445, 161 clinicians

Practice addresses (Care Compare)

1547 W Garvey Ave N
West Covina, CA 91790-2139
Phone (800) 424-6589

2111 N Garey Ave
Pomona, CA 91767-2328
Phone (800) 424-6589

2703 S Towne Ave
Pomona, CA 91766-6206
Phone (626) 232-3929

300 Continental Blvd
Suite 635
El Segundo, CA 90245-5040
Phone (310) 658-3775

4445 Riverside Dr
Chino, CA 91710-3961
Phone (800) 424-6589

6090 W Ramsey St
Banning, CA 92220-3052
Phone (800) 424-6589

750 W Route 66
Suite Q
Glendora, CA 91740-4164
Phone (626) 335-2063

7960 Grand River Rd
Suite 200
Brighton, MI 48114-7336
Phone (720) 703-5293

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2023 Accepting new patients
Greater Good Health PC, Inc. CurrentSince Mar 7, 2025 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 1, 2023 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2023 Accepting new patients
Riverside Medical Clinic, Inc CurrentSince Nov 5, 2023 Accepting new patients
Nightingale Clinical Care, PC CurrentSince Oct 3, 2022 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Riverside Medical Clinic, Inc Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Sep 1, 2023 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Greater Good Health PC, Inc. CurrentSince Mar 7, 2025 Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients
Permanente Medical Group, Inc Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations (25 of 40)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

902 Bear Mountain Blvd
Arvin, CA 93203
Phone (209) 543-1720

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

2438 N Ponderosa Dr
Ste C101
Camarillo, CA 93010
Phone (559) 664-9252

4445 Riverside Dr
Chino, CA 91710
Phone (760) 202-3491

510 E North Way
Dinuba, CA 93618
Phone (209) 473-2294

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

11690 San Pablo Ave
El Cerrito, CA 94530

601 Hawaii St
El Segundo, CA 90245
Phone (310) 536-2400

300 Continental Blvd
Ste 635
El Segundo, CA 90245
Phone (310) 658-3775

2720 Low Ct
Fairfield, CA 94534
Phone (707) 428-2731

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

815 Court St
Ste 7
Jackson, CA 95642
Phone (209) 257-5900

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

501 E Almond Ave
Madera, CA 93637
Phone (559) 664-9252

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

3001 Health Care Way
Ste 102
Modesto, CA 95356
Phone (559) 664-9255

701 E El Camino Real
Mountain View, CA 94040
Phone (650) 404-8370

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

78030 Wildcat Dr
Ste 101
Palm Desert, CA 92211
Phone (908) 845-4494

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

795 El Camino Real
#1112
Palo Alto, CA 94301

320 James Way
Ste 100
Pismo Beach, CA 93449
Phone (209) 827-3973

Interoperability endpoints

  • Direct secure messaging: gsobretodo@landmarkhealth-direct.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1184146243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 TERRABELLA WAY",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946193168",
            "telephone_number": "626-893-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CONTINENTAL BLVD STE 635",
            "city": "EL SEGUNDO",
            "state": "CA",
            "postal_code": "902455040",
            "telephone_number": "562-335-2730"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Mountain View",
            "state": "CA",
            "postal_code": "940404302",
            "country_code": "US",
            "telephone_number": "650-940-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2213 Buchanan Rd",
            "address_purpose": "LOCATION",
            "city": "Antioch",
            "state": "CA",
            "postal_code": "945094265",
            "country_code": "US",
            "telephone_number": "925-303-4780",
            "fax_number": "925-779-1455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3478 Buskirk Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "CA",
            "postal_code": "945234345",
            "country_code": "US",
            "telephone_number": "945-448-3704",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2727 MacDonald Ave",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948043006",
            "country_code": "US",
            "telephone_number": "510-213-6681",
            "fax_number": "510-213-6680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "395 Oyster Point Blvd Ste 512",
            "address_purpose": "LOCATION",
            "city": "South San Francisco",
            "state": "CA",
            "postal_code": "940801973",
            "country_code": "US",
            "telephone_number": "650-826-2945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBRETODO",
        "first_name": "GINA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-11",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "801746",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Segundo, CA

Sources for this page

Verify at the official NPI Registry.