Active NPI
Eugene Soroka, MD
- Family Medicine Physician
- Port Hueneme, CA
National Provider Identifier
1437109683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A93249
- Practice address
- 246 E Scott Street
Port Hueneme, CA 93041-2918 - Phone
- (805) 247-0708
- Fax
- (805) 247-0508
- NPI assigned
- May 10, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A93249 | CA | Primary |
Addresses
Primary practice location
246 E Scott Street
Port Hueneme, CA 93041-2918
Mailing address
4611 Vista del Monte Ave
Unit 204
Sherman Oaks, CA 91403-2944
Phone (818) 674-7838
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A923490 | Medicaid | CA |
Other names 1
- Yevgeniy Shapovalov
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
- Family Practice
- Education
- Other, 1998
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
246 E Scott St
Saviers Medical Group
Port Hueneme, CA 93041-2918
Phone (805) 271-0708
Hospital & facility affiliations
- Nexus Home Health, Inc
- Assisted Home Care
- Vitas Healthcare Corporation of California
- Carewise Hospice, Inc
- Community Memorial Hospital - Ventura
- St Johns Regional Medical Center
- Shoreline Care Center
- Maywood Acres Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eugene Soroka MD Inc | Current | Accepting new patients | |
| Eugene Soroka MD Inc | Family Medicine | Past | Accepting new patients |
| County of Ventura | Past | Accepting new patients |
Locations
246 E Scott St
Port Hueneme, CA 93041
Phone (805) 247-0708
Organizations & group practices 3
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.
-
- Specialist
- Port Hueneme, CA
- NPI 1942234299
-
- Family Medicine Physician
- Port Hueneme, CA
- NPI 1841208881
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1629167457
Hospital & facility affiliations 17
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Ventura, CA
- NPI 1619929734
-
- Community Based Hospice Care Agency
- Simi Valley, CA
- NPI 1649674250
-
- General Acute Care Hospital
- Ventura, CA
- NPI 1215903018
-
- Multi-Specialty Clinic/Center
- Port Hueneme, CA
- NPI 1659656775
Hospital
-
- Orthopaedic Surgery Physician
- Camarillo, CA
- NPI 1871919126
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1200268800000",
"number": "1437109683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4611 VISTA DEL MONTE AVE",
"address_2": "UNIT 204",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914032944",
"telephone_number": "818-674-7838",
"fax_number": "805-247-0508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 E SCOTT STREET",
"city": "PORT HUENEME",
"state": "CA",
"postal_code": "930412918",
"telephone_number": "805-247-0708",
"fax_number": "805-247-0508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOROKA",
"first_name": "EUGENE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2008-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A93249",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A923490",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YEVGENIY",
"last_name": "SHAPOVALOV",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Port Hueneme, CA
- Silver Strand Optometry Corp
- Jerry M Smith Jr., IDC
- Michelle Smith
- Steven M Smith, MA, LMFT
- Sol Y Paz Counseling Services Licensed Clinical Social Worker, Inc.
- Shayne Tyler Stanley
- Donald Kenneth Steensma, O.D.
- Steven G. Johnson Dental Corporation
- Brian Michael Strahl, IDC
- Barbara Ruth Strong Doreo, DC MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; 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.