Active NPI
Gregg R Sobeck, M.D.
- Specialist
- Sherman Oaks, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- A068256
- Practice address
- 4955 Van Nuys Blvd
Suite 615
Sherman Oaks, CA 91403-1801 - Phone
- (818) 905-2222
- Fax
- (818) 905-8702
- NPI assigned
- Apr 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | A068256 | CA | Primary |
Addresses
Primary practice location
4955 Van Nuys Blvd
Suite 615
Sherman Oaks, CA 91403-1801
Mailing address
4955 Van Nuys Blvd
Suite 615
Sherman Oaks, CA 91403-1801
Phone (818) 905-2222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DA0572 | Other | CA | RAILROAD CARRIER |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Pennsylvania State University College of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4955 Van Nuys Blvd
Suite 615
Sherman Oaks, CA 91403-1839
Phone 8189052222205
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.93 of 100
- Quality
- 83.47
- Improvement activities
- 40
- Cost
- 61.8
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 1-10 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 12 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A068256 | CA | MD | Specialist |
| 68256 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Domenick J Sisto M D Inc | Specialist | Current | Accepting new patients |
| Deanco Healthcare LLC. | Past | Accepting new patients | |
| Dignity Community Care | Past | Accepting new patients | |
| Lancaster Hospital Corporation | Past | Accepting new patients |
Locations
38660 Medical Center Dr
Ste A250
Palmdale, CA 93551
Phone (661) 267-7777
21064 Centre Pointe Pkwy
Santa Clarita, CA 91350
4955 Van Nuys Blvd
Ste 615
Sherman Oaks, CA 91403
Phone (818) 905-2222
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GJEEDD
- gsobeck@laoi1795.srs-direct.com
Organizations & group practices 4
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.
-
dba Los Angeles Orthopaedic Institute
- Specialist
- Palmdale, CA
- NPI 1710941539
-
dba Mission Community Hospital
- Psychiatric Hospital Unit
- Panorama City, CA
- NPI 1013061597
-
dba Northridge Hospital Medical Center
- General Acute Care Hospital
- Northridge, CA
- NPI 1417089350
-
dba Palmdale Regional Medical Center
- Rehabilitation Hospital Unit
- Palmdale, CA
- NPI 1033109947
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palmdale Regional Medical Center
- General Acute Care Hospital
- Palmdale, CA
- NPI 1508856535
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145232000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1321920000000",
"number": "1417912270",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4955 VAN NUYS BLVD",
"address_2": "SUITE 615",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031801",
"telephone_number": "818-905-2222",
"fax_number": "818-905-8702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4955 VAN NUYS BLVD",
"address_2": "SUITE 615",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914031801",
"telephone_number": "818-905-2222",
"fax_number": "818-905-8702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOBECK",
"first_name": "GREGG",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-17",
"last_updated": "2011-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "A068256",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD CARRIER",
"identifier": "DA0572",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sherman Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.