Active NPI
Kristina Mae Sogocio, MD
- Obstetrics & Gynecology Physician
- Merced, CA
National Provider Identifier
1497950448
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A108754
- Practice address
- 360 E Yosemite Ave
300
Merced, CA 95340-8201 - Phone
- (209) 723-6624
- Fax
- (209) 723-3877
- NPI assigned
- Jun 19, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 25MA08268300 | NJ | |
| Obstetrics & Gynecology Physician | 207V00000X | A108754 | CA | Primary |
Addresses
Primary practice location
360 E Yosemite Ave
300
Merced, CA 95340-8201
Mailing address
731 E Yosemite Ave Suite B
PMB 317
Merced, CA 95340
Phone (209) 723-6624
Other practice location 1
2644 M St Ste G
Merced, CA 95340-2826
Phone (209) 723-6624
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100824000101 | CA | Practitioner - Obstetrics/Gynecology | 1355408287 |
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2003
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2644 M St
Suite G
Merced, CA 95340-2826
2644 M St G
Merced, CA 95340-2826
Hospital & facility affiliations
- Mercy Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A108754 | CA | MD | Obstetrics & Gynecology Physician |
| 25MA08268300 | NJ | MD | Obstetrics & Gynecology Physician |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1497950448",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "731 E YOSEMITE AVE SUITE B",
"address_2": "PMB 317",
"city": "MERCED",
"state": "CA",
"postal_code": "95340",
"telephone_number": "209-723-6624",
"fax_number": "877-682-6602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 E YOSEMITE AVE",
"address_2": "300",
"city": "MERCED",
"state": "CA",
"postal_code": "953408201",
"telephone_number": "209-723-6624",
"fax_number": "209-723-3877"
}
],
"practiceLocations": [
{
"address_1": "2644 M St Ste G",
"address_purpose": "LOCATION",
"city": "Merced",
"state": "CA",
"postal_code": "953402826",
"country_code": "US",
"telephone_number": "209-723-6624",
"fax_number": "877-682-6602",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOGOCIO",
"first_name": "KRISTINA",
"middle_name": "MAE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-19",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NJ",
"license": "25MA08268300",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A108754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.