Individual provider Active NPI

Anna Sophia Rae Irvin, D.O.

  • Family Medicine Physician
  • Sacramento, CA
National Provider Identifier
1255851895
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A16710 Issued in CA
Practice address
1201 Alhambra Blvd
Ste 330
Sacramento, CA 95816-5242
Phone
(916) 731-7770
Fax
(916) 731-7771
NPI assigned
Jun 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A16710 CA Primary

Addresses

Primary practice location

1201 Alhambra Blvd
Ste 330
Sacramento, CA 95816-5242

Mailing address

1201 Alhambra Blvd Ste 330
Sacramento, CA 95816-5242
Phone (916) 731-7770

Other names 1

  • Sophie Irvin Other name

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
I20190501000762 CA Practitioner - Family Practice 7012259609 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Sutter Valley Medical FoundationGroup PAC ID 9830094515, 2,473 clinicians

Practice addresses (Care Compare)

1651 Exposition Blvd
Sacramento, CA 95815-5149
Phone (916) 731-7770

2702 Low CT
Fairfield, CA 94534-9771
Phone (707) 432-2600

2720 Low CT
Fairfield, CA 94534-9771
Phone (707) 428-2731

2800 L St
Sacramento, CA 95816-5616

Hospital & facility affiliations

  • Sutter Care at Home Home health agency, Sacramento, CA, CCN 557073
  • Sutter Medical Center, Sacramento Hospital, Sacramento, CA, CCN 050108
  • Sutter Roseville Medical Center Hospital, Roseville, CA, CCN 050309
  • Sutter Amador Hospital Hospital, Jackson, CA, CCN 050014

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A16710CAMDFamily Medicine Physician
16710CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sutter Valley Medical Foundation CurrentSince Jan 28, 2019 Accepting new patients
Sutter Valley Medical Foundation Family Medicine CurrentSince Jan 28, 2019 Accepting new patients
Sutter Valley Medical Foundation Family Medicine Current Accepting new patients
Sutter West Bay Medical Foundation Family Medicine Past Accepting new patients
Sutter North Medical Foundation Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Regional Medical Foundation Family Medicine Past Accepting new patients

Locations

8170 Laguna Blvd
Ste 113
Elk Grove, CA 95758
Phone (916) 478-6561

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

3 Medical Plaza Dr
Ste 140
Roseville, CA 95661
Phone (916) 781-1927

2750 Gateway Oaks Dr
Ste 150
Sacramento, CA 95833
Phone (916) 887-7398

2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850

1201 Alhambra Blvd
Ste 230
Sacramento, CA 95816
Phone (916) 731-7728

1651 Exposition Blvd
Ste 201
Sacramento, CA 95815
Phone (916) 731-7770

Interoperability endpoints

  • Direct secure messaging: sirvin365704@hisp.ehr.sutterhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1498348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1255851895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 ALHAMBRA BLVD STE 330",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165242",
            "telephone_number": "916-731-7770",
            "fax_number": "916-731-7771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 ALHAMBRA BLVD",
            "address_2": "STE 330",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165242",
            "telephone_number": "916-731-7770",
            "fax_number": "916-731-7771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRVIN",
        "first_name": "ANNA SOPHIA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-25",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A16710",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SOPHIE",
            "last_name": "IRVIN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.