Individual provider Active NPI

Gregg R Sobeck, M.D.

  • Specialist
  • Sherman Oaks, CA
National Provider Identifier
1417912270
Registry record updated Nov 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A068256 Issued in CA
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

Updated by the provider on Nov 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
DA0572OtherCARAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100428000536 CA Practitioner - Orthopedic Surgery 6103953823 Reassigns benefits to 1 organization

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
Domenick J Sisto M D IncGroup PAC ID 0648230292, 10 clinicians

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 100Reported as group
Quality
83.47
Improvement activities
40
Cost
61.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
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

LicenseStateTypeSpecialty
A068256CAMDSpecialist
68256CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Domenick J Sisto M D Inc Specialist CurrentSince Aug 1, 1999 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJEEDD
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.