Organization Active NPI

Roger C. Sohn, MD, Inc.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • San Juan Capistrano, CA
National Provider Identifier
1275191405
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
ROGER C. SOHN, MD, INC.
Practice address
31920 Del Obispo St Ste 170
San Juan Capistrano, CA 92675
Phone
(949) 691-3131
Fax
(949) 940-8311
NPI assigned
Jun 3, 2019
Last updated
Dec 29, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

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

Authorized official

Name
Dr. Roger Sohn, MDNPI 1588600555
Title
President
Phone
(949) 691-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X NU Primary

Addresses

Primary practice location

31920 Del Obispo St Ste 170
San Juan Capistrano, CA 92675

Mailing address

31920 Del Obispo St Ste 170
San Juan Capistrano, CA 92675-3193
Phone (949) 691-3131

Other practice location 1

18035 Brookhurst St Ste 1200
Fountain Valley, CA 92708-6738
Phone (949) 691-3131

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address rogersohn@orthocarealliance.kareodirect.com Direct
Direct Messaging Address rsohn466253@direct.memorialcare.org MemorialCare Medical Foundation

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20200110000756 CA Part B Supplier - Clinic/Group Practice 6709211220 Receives reassigned benefits from 2 practitioners
Practice locations: San Juan Capistrano, CA
O20200421002342 CA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 6709211220 Practice locations: San Juan Capistrano, CA

National Provider Directory

National Provider Directory

Locations

555 N El Camino Real
#A357
San Clemente, CA 92672

Interoperability endpoints

  • Direct secure messaging: rogersohn@orthocarealliance.kareodirect.com

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1559520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1703808000000",
    "number": "1275191405",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31920 DEL OBISPO ST STE 170",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926753193",
            "telephone_number": "949-691-3131",
            "fax_number": "949-940-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31920 DEL OBISPO ST STE 170",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "92675",
            "telephone_number": "949-691-3131",
            "fax_number": "949-940-8311"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18035 Brookhurst St Ste 1200",
            "address_purpose": "LOCATION",
            "city": "Fountain Valley",
            "state": "CA",
            "postal_code": "927086738",
            "country_code": "US",
            "telephone_number": "949-691-3131",
            "fax_number": "949-940-8311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ROGER C. SOHN, MD, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-03",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A",
        "authorized_official_last_name": "SOHN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-691-3131",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rogersohn@orthocarealliance.kareodirect.com",
            "affiliation": "N",
            "endpointDescription": "Kareo direct messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email direct messaging",
            "address_1": "31920 Del Obispo St Ste 170",
            "city": "San Juan Capistrano",
            "state": "CA",
            "country_code": "US",
            "postal_code": "926753193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rsohn466253@direct.memorialcare.org",
            "affiliation": "Y",
            "affiliationName": "MemorialCare Medical Foundation",
            "address_1": "17360 Brookhurst St",
            "city": "Fountain Valley",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927083720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.