Individual provider Active NPI

Brian Jossue Sorto, DNP, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Santa Monica, CA
National Provider Identifier
1336857606
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
95023231 Issued in CA
Practice address
1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401-2072
Phone
(310) 319-3475
NPI assigned
Nov 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 95023231 CA Primary
Critical Care Medicine Nurse Practitioner 363LC0200X 95023231 CA
Adult Health Nurse Practitioner 363LA2200X 95023231 CA
Gerontology Nurse Practitioner 363LG0600X 95023231 CA
Primary Care Nurse Practitioner 363LP2300X 95023231 CA

Addresses

Primary practice location

1131 Wilshire Blvd Ste 100
Santa Monica, CA 90401-2072

Mailing address

5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631

Other practice location 1

701 E 28th St Ste 400
Long Beach, CA 90806-2778
Phone (562) 424-6040

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231115000839 CA Practitioner - Nurse Practitioner 6406203306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beckett Professional CorporationGroup PAC ID 3072973023, 2 clinicians

Practice addresses (Care Compare)

4551 Glencoe Ave
Suite 145
Marina del Rey, CA 90292-6385
Phone (310) 776-3688

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.91 of 100Reported as group
Quality
68.73
Promoting interoperability
100
Improvement activities
40
Cost
63.4

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95023231CAMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beckett Professional Corporation CurrentSince Jun 1, 2024 Accepting new patients

Locations

16830 Ventura Blvd
Ste 220
Encino, CA 91436
Phone (424) 438-0881

4551 Glencoe Ave
Ste 145
Marina del Rey, CA 90292
Phone (310) 426-8206

Organizations & group practices 1

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 1

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": "1667779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1336857606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5767 W CENTURY BLVD STE 400",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900455631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 WILSHIRE BLVD STE 100",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904012072",
            "telephone_number": "310-319-3475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 E 28th St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908062778",
            "country_code": "US",
            "telephone_number": "562-424-6040",
            "fax_number": "562-427-2565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORTO",
        "first_name": "BRIAN",
        "middle_name": "JOSSUE",
        "name_prefix": "Dr.",
        "credential": "DNP, AGACNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-07",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95023231",
            "primary": true
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "CA",
            "license": "95023231",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95023231",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CA",
            "license": "95023231",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95023231",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Monica, CA

Sources for this page

Verify at the official NPI Registry.