Organization Active NPI

Sherry Sonka-Maarek MD Inc

  • Physical Medicine & Rehabilitation Physician
  • San Pedro, CA
National Provider Identifier
1366778359
Registry record updated Oct 26, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
G73058 Issued in CA
Legal business name
SHERRY SONKA-MAAREK MD INC
Practice address
1300 W 7TH St
Providence Little Company San Pedro Hospital Rehab
San Pedro, CA 90732-3505
Phone
(310) 386-2305
Fax
(310) 540-4640
NPI assigned
Oct 26, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2009

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

Authorized official

Name
Dr. Sherry Sonka-Maarek, M.D.NPI 1588767651
Title
President
Phone
(310) 386-2305

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
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X G73058 CA Primary

Addresses

Primary practice location

1300 W 7TH St
Providence Little Company San Pedro Hospital Rehab
San Pedro, CA 90732-3505

Mailing address

PO Box 4245
Redondo Beach, CA 90277-1759
Phone (310) 386-2305

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140916000845 CA Part B Supplier - Clinic/Group Practice 8426277922 Receives reassigned benefits from 1 practitioner
Practice locations: Torrance, CA

National Provider Directory

National Provider Directory

Locations

1300 W 7th St
San Pedro, CA 90732
Phone (310) 514-5350

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1256515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1256515200000",
    "number": "1366778359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4245",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902771759",
            "telephone_number": "310-386-2305",
            "fax_number": "310-540-4640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W 7TH ST",
            "address_2": "PROVIDENCE LITTLE COMPANY SAN PEDRO HOSPITAL REHAB",
            "city": "SAN PEDRO",
            "state": "CA",
            "postal_code": "907323505",
            "telephone_number": "310-386-2305",
            "fax_number": "310-540-4640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERRY SONKA-MAAREK MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-26",
        "last_updated": "2009-10-26",
        "status": "A",
        "authorized_official_last_name": "SONKA-MAAREK",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-386-2305",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G73058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Pedro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2009; 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.