Individual provider Active NPI

Yuliya Sorkin, DDS

  • Dentist
  • Stevenson Ranch, CA
National Provider Identifier
1184640716
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
57790 Issued in CA
Practice address
25937 N. the Old Road
Stevenson Ranch, CA 91381-1714
Phone
(661) 799-1991
Fax
(661) 799-9238
NPI assigned
Jul 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 6628 AZ
Dentist 122300000X 57790 CA Primary

Addresses

Primary practice location

25937 N. the Old Road
Stevenson Ranch, CA 91381-1714

Mailing address

25937 N. the Old Road
Stevenson Ranch, CA 91381-1714
Phone (661) 799-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
New Age Dental Dentist Past Accepting new patients

Organizations & group practices 1

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1184640716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25937 N. THE OLD ROAD",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811714",
            "telephone_number": "661-799-1991",
            "fax_number": "661-799-9238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25937 N. THE OLD ROAD",
            "city": "STEVENSON RANCH",
            "state": "CA",
            "postal_code": "913811714",
            "telephone_number": "661-799-1991",
            "fax_number": "661-799-9238"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORKIN",
        "first_name": "YULIYA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-15",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "AZ",
            "license": "6628",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "57790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stevenson Ranch, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.