Active NPI
Andrew Robert Sorensen, DO
- Internal Medicine Physician
- Colton, CA
National Provider Identifier
1477441673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4242
- Practice address
- 400 N Pepper Ave
Colton, CA 92324-1819 - Phone
- (909) 580-6343
- Fax
- (909) 580-6257
- NPI assigned
- Jun 25, 2025
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4242 | CA | Primary |
Addresses
Primary practice location
400 N Pepper Ave
Colton, CA 92324-1819
Mailing address
3777 Mission Inn Ave Apt 322
Riverside, CA 92501-3279
Phone (949) 466-1140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Osteopathy
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1477441673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3777 MISSION INN AVE APT 322",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013279",
"telephone_number": "949-466-1140"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 N PEPPER AVE",
"city": "COLTON",
"state": "CA",
"postal_code": "923241819",
"telephone_number": "909-580-6343",
"fax_number": "909-580-6257"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "ANDREW",
"middle_name": "ROBERT",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-06-25",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "4242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Colton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.