Shiroko Liles Sokitch, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G071078 Issued in CA

Practice address

3471 Regional Pkwy Ste D
Santa Rosa, CA 95403-8269

Phone

(707) 524-9640

Fax

(707) 524-9649

NPI assigned

Oct 13, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Vivian V Sokitch Former name

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

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2013 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dr Hollis L Stavn O.D. an Optometry Corporation

  dba Dr. Hollis L. Stavn

  • Optometrist
  • Santa Rosa, CA
  • NPI 1255618500
  NPD (past)
• North Bay Spine & Neuropathy Inc

  • Family Medicine Physician
  • Novato, CA
  • NPI 1427683481
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224720000000",
    "number": "1235229006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3471 REGIONAL PKWY STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038269",
            "telephone_number": "707-524-9640",
            "fax_number": "707-524-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3471 REGIONAL PKWY STE D",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038269",
            "telephone_number": "707-524-9640",
            "fax_number": "707-524-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOKITCH",
        "first_name": "SHIROKO",
        "middle_name": "LILES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2008-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G071078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA LICENSE",
            "identifier": "G071078",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "SOKITCH",
            "middle_name": "V",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Halie Snider
• Garrett Micah Snyder, M.D.
• Todd Joseph Soares, PT
• Ransom G Soderberg
• Victoria Elizabeth Sojka
• Joyce Sokolik, R.D., CDE
• Hillary Solakian
• Viviana Valerie Solano Beltran
• Ana Solano Gomez
• Mario A. Solano, MD

• General Practice Physician in Santa Rosa, CA
• Providers in Santa Rosa, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2008; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.