Active NPI
Luka Sogorovic
- Psychiatry Physician
- San Francisco, CA
National Provider Identifier
1205330933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- OS18720
- Practice address
- 1 California St Ste 2300
San Francisco, CA 94111-5424 - Phone
- (800) 929-0926
- NPI assigned
- Mar 19, 2018
- Last updated
- Jun 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | UO5991 | FL | |
| Psychiatry Physician | 2084P0800X | OS18720 | FL | Primary |
Addresses
Primary practice location
1 California St Ste 2300
San Francisco, CA 94111-5424
Mailing address
4604 49TH St N Ste 1174
St Petersburg, FL 33709-3842
Other practice location 1
580 W 8th St Fl 6
Jacksonville, FL 32209-6533
Phone (904) 244-9905
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Alabama College of Osteopathic Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
PO Box
New York, NY 10087
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS18720 | FL | MD | Psychiatry Physician |
| UO5991 | FL | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654214400000",
"number": "1205330933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4604 49TH ST N STE 1174",
"city": "ST PETERSBURG",
"state": "FL",
"postal_code": "337093842"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 CALIFORNIA ST STE 2300",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941115424",
"telephone_number": "800-929-0926"
}
],
"practiceLocations": [
{
"address_1": "580 W 8th St Fl 6",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322096533",
"country_code": "US",
"telephone_number": "904-244-9905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOGOROVIC",
"first_name": "LUKA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-19",
"last_updated": "2022-06-03",
"certification_date": "2022-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "UO5991",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS18720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2022; 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.