Individual provider Active NPI

Kristina Mae Sogocio, MD

  • Obstetrics & Gynecology Physician
  • Merced, CA
National Provider Identifier
1497950448
Registry record updated Dec 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A108754 Issued in CA
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

Updated by the provider on Dec 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Hospital, Merced, CA, CCN 050444

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A108754CAMDObstetrics & Gynecology Physician
25MA08268300NJMDObstetrics & 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.

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

Verify at the official NPI Registry.