Individual provider Active NPI

Rebecca Sorenson Janik, M.D.

  • Ophthalmology Physician
  • Berkeley, CA
National Provider Identifier
1518223080
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A142246 Issued in CA
Practice address
3010 Colby St
Suite 114
Berkeley, CA 94705-2091
Phone
(510) 848-1413
NPI assigned
Apr 9, 2012
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A142246 CA Primary

Addresses

Primary practice location

3010 Colby St
Suite 114
Berkeley, CA 94705-2091

Mailing address

3010 Colby St
Suite 114
Berkeley, CA 94705-2091
Phone (510) 848-1413

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
I20161011001138 CA Practitioner - Ophthalmology 7012205883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sorenson and Sorenson MD IncGroup PAC ID 2668411851, 5 clinicians

Practice addresses (Care Compare)

3010 Colby St
Suite 114
Berkeley, CA 94705-2059
Phone (510) 848-1413

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery221

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142246CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sorenson & Sorenson MD Inc Ophthalmology CurrentSince Aug 21, 2016 Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Locations

3010 Colby St
Ste 114
Berkeley, CA 94705
Phone (510) 848-1413

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: rjanik355535@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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 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": "1333929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1518223080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST",
            "address_2": "SUITE 114",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052091",
            "telephone_number": "510-848-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3010 COLBY ST",
            "address_2": "SUITE 114",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947052091",
            "telephone_number": "510-848-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANIK",
        "first_name": "REBECCA",
        "middle_name": "SORENSON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-09",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A142246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

Verify at the official NPI Registry.