Individual provider Active NPI

Sohrab Sohrabi, M.D.

  • Otolaryngology Physician
  • Fresno, CA
National Provider Identifier
1407057680
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
A126216 Issued in CA
Practice address
540 E Herndon Ave Ste 101
Fresno, CA 93720-2993
Phone
(559) 431-0340
Fax
(559) 431-0301
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X A126216 CA Primary

Addresses

Primary practice location

540 E Herndon Ave Ste 101
Fresno, CA 93720-2993

Mailing address

540 E Herndon Ave Ste 101
Fresno, CA 93720-2993
Phone (559) 431-0340

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
I20131014001432 CA Practitioner - Otolaryngology 7214193762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Head and Neck Associates of Central California 6 clinicians
Richard S Demera MD Inc 6 clinicians

Practice addresses (Care Compare)

215 N Fresno St
Suite 490
Fresno, CA 93701-2363
Phone (559) 459-4101

540 E Herndon Ave
Suite 101
Fresno, CA 93720-2993
Phone (559) 431-0340

Hospital & facility affiliations

  • Community Regional Medical Center Hospital, Fresno, CA, CCN 050060
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A126216CAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Richard S. Demera, M.D. Inc. CurrentSince Feb 15, 2025 Accepting new patients
Head and Neck Associates of Central California CurrentSince Jul 1, 2025 Accepting new patients

Locations

540 E Herndon Ave
Ste 101
Fresno, CA 93720
Phone (559) 431-0340

215 N Fresno St
Ste 490
Fresno, CA 93701
Phone (559) 459-4101

Organizations & group practices 2

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 2

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1407057680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202993",
            "telephone_number": "559-431-0340",
            "fax_number": "559-431-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 E HERNDON AVE STE 101",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937202993",
            "telephone_number": "559-431-0340",
            "fax_number": "559-431-0301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHRABI",
        "first_name": "SOHRAB",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "CA",
            "license": "A126216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.