Individual provider Active NPI

Jennifer L Sorrell, M.D.

  • Pediatric Dermatology Physician
  • Los Gatos, CA
National Provider Identifier
1487827861
Registry record updated Oct 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Dermatology PhysicianTaxonomy code 207NP0225X
License
A136518 Issued in CA
Practice address
15720 Winchester Blvd
Los Gatos, CA 95030-3337
Phone
(408) 730-6130
NPI assigned
Apr 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A136518 CA
Pediatric Dermatology Physician 207NP0225X A136518 CA Primary

Addresses

Primary practice location

15720 Winchester Blvd
Los Gatos, CA 95030-3337

Mailing address

PO Box 276950
Sacramento, CA 95827-6950

Other practice location 1

780 Welch Rd
Cj220-28
Palo Alto, CA 94304-1516
Phone (650) 497-8000

Other practice location 2

780 Welch Rd
Cj220-28
Palo Alto, CA 94304-1516
Phone (650) 497-8000

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
I20150821014590 CA Practitioner - DermatologyPractitioner - Pediatric Medicine 6204029325 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Temple University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sutter Bay Medical FoundationGroup PAC ID 4284538778, shared by 16 NPIs, 3,783 clinicians
Peninsula Dermatology Medical Group IncGroup PAC ID 4082658422, 4 clinicians

Practice addresses (Care Compare)

15720 Winchester Blvd
Los Gatos, CA 95030-3337
Phone (408) 934-7000

1750 El Camino Rea
Suite 206
Burlingame, CA 94010-3214
Phone (650) 692-0182

1750 El Camino Real
Suite 206
Burlingame, CA 94010-3214

2400 Samaritan Dr
San Jose, CA 95124-3910

370 Distel Cir
Los Altos, CA 94022-1404
Phone (650) 254-5200

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
85.34 of 100Reported as group
Quality
90.85
Promoting interoperability
87
Improvement activities
40
Cost
71.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions562
Removal or shaving of skin growth1-10
Skin biopsy226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A136518CAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stanford Health Care Dermatology Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2025 Accepting new patients
Peninsula Dermatology Medical Group Inc Dermatology CurrentSince Jun 1, 2024 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2025 Accepting new patients
Csi Medical Group Dermatology CurrentSince Jul 1, 2019 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2025 Accepting new patients
Sutter Bay Medical Foundation CurrentSince Oct 1, 2025 Accepting new patients
Sutter Bay Medical Foundation Current Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Lucile Salter Packard Children'S Hospital at Stanford Past Accepting new patients
Ann & Robert H Lurie Childrens Hospital of Chicago Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Sutter East Bay Medical Foundation Past Accepting new patients

Locations (25 of 32)

18400 US Highway 18
Apple Valley, CA 92307
Phone (760) 810-7590

350 John Muir Pkwy
Ste 160
Brentwood, CA 94513
Phone (925) 204-1920

1750 El Camino Real
Ste 206
Burlingame, CA 94010
Phone (650) 692-0182

1950 University Ave
Ste 160
East Palo Alto, CA 94303
Phone (650) 317-8100

3120 Kearney St
Fremont, CA 94538
Phone (650) 498-3600

3200 Kearney St
Fremont, CA 94538
Phone (510) 498-2800

1189 E Herndon Ave
Ste 103
Fresno, CA 93720
Phone (559) 450-7777

715 Altos Oaks Dr
Los Altos, CA 94024
Phone (650) 934-7010

370 Distel Cir
Los Altos, CA 94022
Phone (650) 254-5200

15720 Winchester Blvd
Los Gatos, CA 95030
Phone (408) 730-6130

600 Coffee Rd
Modesto, CA 95355
Phone (209) 550-4755

701 E El Camino Real
#1
Mountain View, CA 94040
Phone (650) 404-8440

101 Rowland Way
Ste 220
Novato, CA 94945
Phone (415) 878-7200

795 El Camino Real
Palo Alto, CA 94301
Phone (650) 324-1832

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

780 Welch Rd
#22028
Palo Alto, CA 94304

1555 East St
Ste 200
Redding, CA 96001
Phone (530) 229-0911

301 Industrial Rd
#1
San Carlos, CA 94070
Phone (650) 404-8455

3838 California St
Rm 410
San Francisco, CA 94118
Phone (415) 751-1847

909 Hyde St
Ste 419
San Francisco, CA 94109
Phone (415) 678-5887

3838 California St
Rm 610
San Francisco, CA 94118
Phone (415) 387-8007

2581 Samaritan Dr
Ste 308
San Jose, CA 95124
Phone (408) 355-1700

6399 San Ignacio Ave
Ste 120
San Jose, CA 95119
Phone (408) 369-5620

2506 Samaritan Ct
San Jose, CA 95124
Phone (408) 523-3870

2400 Samaritan Dr
Ste 105
San Jose, CA 95124
Phone (408) 523-3870

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1207612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761868800000",
    "number": "1487827861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 276950",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958276950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15720 WINCHESTER BLVD",
            "city": "LOS GATOS",
            "state": "CA",
            "postal_code": "950303337",
            "telephone_number": "408-730-6130"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "780 Welch Rd",
            "address_2": "CJ220-28",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041516",
            "country_code": "US",
            "telephone_number": "650-497-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 Welch Rd",
            "address_2": "CJ220-28",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943041516",
            "country_code": "US",
            "telephone_number": "650-497-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORRELL",
        "first_name": "JENNIFER",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-08",
        "last_updated": "2025-10-31",
        "certification_date": "2025-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A136518",
            "primary": false
        },
        {
            "code": "207NP0225X",
            "taxonomy_group": "",
            "desc": "Dermatology, Pediatric Dermatology",
            "state": "CA",
            "license": "A136518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Gatos, CA

Sources for this page

Verify at the official NPI Registry.