Individual provider Active NPI

Samira Soroory, LMFT

  • Marriage & Family Therapist
  • Irvine, CA
National Provider Identifier
1538644406
Registry record updated Sep 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT105808 Issued in CA
Practice address
2152 Dupont Dr Ste 174
Irvine, CA 92612-1315
Phone
(310) 600-4027
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X LMFT105808 CA Primary

Addresses

Primary practice location

2152 Dupont Dr Ste 174
Irvine, CA 92612-1315

Mailing address

2173 Scholarship
Irvine, CA 92612-5662
Phone (310) 600-4027

Other practice location 1

2152 DuPont Dr Ste 174
Irvine, CA 92612-1315
Phone (310) 600-4027

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

State licenses

LicenseStateTypeSpecialty
LMFT105808CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568851200000",
    "number": "1538644406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2173 SCHOLARSHIP",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926125662",
            "telephone_number": "310-600-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 DUPONT DR STE 174",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926121315",
            "telephone_number": "310-600-4027"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2152 DuPont Dr Ste 174",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926121315",
            "country_code": "US",
            "telephone_number": "310-600-4027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOROORY",
        "first_name": "SAMIRA",
        "name_prefix": "Miss",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2019-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT105808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.