NPIMap

Individual provider Active NPI

Serap Sobnosky, MD

  • Cardiovascular Disease Physician
  • Long Beach, CA
National Provider Identifier
1447302823
Registry record updated Jan 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A95191 Issued in CA
Practice address
1045 Atlantic Ave Ste 611
Long Beach, CA 90813-3414
Phone
(562) 432-0111
Fax
(562) 276-0799
NPI assigned
Jan 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A95191 CA
Cardiovascular Disease Physician 207RC0000X A95191 CA Primary

Addresses

Primary practice location

1045 Atlantic Ave Ste 611
Long Beach, CA 90813-3414

Mailing address

1045 Atlantic Ave Ste 611
Long Beach, CA 90813-3414
Phone (562) 432-0111

Other practice location 1

44215 15th St W
Suite 215
Lancaster, CA 93534-4014
Phone (661) 940-8777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070913000551 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7911091566 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sonora Community HospitalGroup PAC ID 4284538505, shared by 10 NPIs, 134 clinicians

Practice addresses (Care Compare)

12917 Central Ave
Unit 303
Hawthorne, CA 90250-0968
Phone (310) 936-9641

193 Fairview LN
Sonora, CA 95370-4828
Phone (209) 536-5100

900 Greenley Rd
Suite 911
Sonora, CA 95370-5287
Phone (209) 532-0511

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A95191CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Albert Medical Clinic Inc Internal Medicine CurrentSince Feb 1, 2016 Accepting new patients
Sonora Community Hospital Internal Medicine CurrentSince Feb 2, 2026 Accepting new patients
Sonora Community Hospital CurrentSince Feb 2, 2026 Accepting new patients
Sonora Community Hospital CurrentSince Feb 2, 2026 Accepting new patients
Antelope Valley Health Care District Past Accepting new patients
Sonora Community Hospital Past Accepting new patients

Locations

2785 Pacific Ave
Ste B
Long Beach, CA 90806
Phone (424) 250-9186

411 E Pacific Coast Hwy
Long Beach, CA 90806
Phone (562) 599-0981

900 Greenley Rd
Ste 911
Sonora, CA 95370
Phone (209) 532-0511

193 Fairview Ln
Ste C
Sonora, CA 95370
Phone (209) 532-3124

193 Fairview Ln
Sonora, CA 95370
Phone (209) 536-5100

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1515456000000",
    "number": "1447302823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 611",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133414",
            "telephone_number": "562-432-0111",
            "fax_number": "562-276-0799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1045 ATLANTIC AVE STE 611",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908133414",
            "telephone_number": "562-432-0111",
            "fax_number": "562-276-0799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44215 15th St W",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Lancaster",
            "state": "CA",
            "postal_code": "935344014",
            "country_code": "US",
            "telephone_number": "661-940-8777",
            "fax_number": "661-940-7444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOBNOSKY",
        "first_name": "SERAP",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2018-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A95191",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A95191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

Verify at the official NPI Registry.