NPIMap

Individual provider Active NPI

Diane Sobkowicz, MD

  • Cardiovascular Disease Physician
  • Auburn, CA
National Provider Identifier
1285739698
Registry record updated Jul 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G51300 Issued in CA
Practice address
3262 Fortune CT
Auburn, CA 95602
Phone
(530) 885-8758
Fax
(530) 889-9440
NPI assigned
Sep 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G51300 CA Primary

Addresses

Primary practice location

3262 Fortune CT
Auburn, CA 95602

Mailing address

30 Garden CT
# B
Monterey, CA 93940-5302
Phone (831) 647-1123

Other identifiers 2

IdentifierTypeStateIssuer
00G513000MedicaidCA
00G513000OtherCABLUE SHIELD PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000190 CA Practitioner - Cardiovascular Disease (Cardiology) 5991875494 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Medical College of Pennsylvania, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Hospital of the Monterey PeninsulaGroup PAC ID 7214839125, 143 clinicians
Montage Medical GroupGroup PAC ID 6406901941, 125 clinicians

Practice addresses (Care Compare)

23625 Holman Hwy
Monterey, CA 93940-5902
Phone (831) 624-5311

30 Garden CT
B
Monterey, CA 93940-5302
Phone (831) 647-1123

Hospital & facility affiliations

  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
81.82
Promoting interoperability
100
Improvement activities
40
Cost
73.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G51300CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montage Medical Group CurrentSince Jan 1, 2017 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Mar 2, 2017 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Mar 2, 2017 Accepting new patients

Locations

23845 Holman Hwy
Ste 210
Monterey, CA 93940
Phone (831) 620-0296

2 Upper Ragsdale Dr
Bldg E
Monterey, CA 93940
Phone (831) 333-3040

30 Garden Ct
Ste B
Monterey, CA 93940
Phone (831) 647-1123

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

30 Garden Ct
#B
Monterey, CA 93940
Phone (831) 647-1123

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562889600000",
    "number": "1285739698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GARDEN CT",
            "address_2": "# B",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405302",
            "telephone_number": "831-647-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 FORTUNE CT",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "95602",
            "telephone_number": "530-885-8758",
            "fax_number": "530-889-9440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBKOWICZ",
        "first_name": "DIANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-13",
        "last_updated": "2019-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G51300",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G513000",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "00G513000",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.