Individual provider Active NPI

Patrick Soran, M.D.

  • Anesthesiology Physician
  • Stanford, CA
National Provider Identifier
1619061058
Registry record updated Sep 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A75678 Issued in CA
Practice address
300 Pasteur Drive
Stanford, CA 94305
Phone
(650) 723-4000
NPI assigned
Oct 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 15706 NV
Anesthesiology Physician 207L00000X A75678 CA Primary

Addresses

Primary practice location

300 Pasteur Drive
Stanford, CA 94305

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-4090

Other practice location 1

1155 Mill St
Reno, NV 89502-1576
Phone (775) 982-4090

Other identifiers 3

IdentifierTypeStateIssuer
00A756780MedicaidCA
15066770OtherNVCAQH #
15706OtherNVNEVADA LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20150625000838 NV Practitioner - Anesthesiology 7810994415 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Chicago, Pritzker School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reno Tahoe Anesthesia Weaver PCGroup PAC ID 3971930256, 41 clinicians
Metcalf Tiller and Chen IncGroup PAC ID 5698093086, 32 clinicians

Practice addresses (Care Compare)

18653 Wedge Pkwy
Suite 170
Reno, NV 89511-3037
Phone (775) 674-5200

235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75678CAMDPharmacist
15706NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Tahoe Anesthesia Weaver PC Anesthesiology CurrentSince Dec 8, 2019 Accepting new patients
Metcalf, Tiller & Chen, Inc. Anesthesiology CurrentSince Jul 1, 2015 Accepting new patients
Saint Mary'S Medical Group Inc CurrentSince Nov 27, 2020 Accepting new patients
Saint Marys Urgent Care LLC Current Accepting new patients
Saint Marys Medical Group Inc. CurrentSince Nov 27, 2020 Accepting new patients
LPCH Medical Group Div of Lucile Past Accepting new patients
Stanford Health Care Anesthesiology Past Accepting new patients

Locations

1801 W Olympic Blvd
#2152
Pasadena, CA 91199

1801 W Olympic Blvd
#1461
Pasadena, CA 91199

3475 Gs Richards Blvd
#110
Carson City, NV 89703
Phone (775) 841-2000

1155 Mill St
Reno, NV 89502
Phone (775) 982-7878

500 Damonte Ranch Pkwy
Ste 703
Reno, NV 89521
Phone (775) 398-4600

18653 Wedge Pkwy
Ste 110
Reno, NV 89511
Phone (775) 352-7201

6630 S McCarran Blvd
Ste C25
Reno, NV 89509
Phone (775) 827-5555

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

5560 Kietzke Ln
Reno, NV 89511
Phone (775) 284-1612

10463 Double R Blvd
Ste 200
Reno, NV 89521
Phone (775) 562-2121

6255 Sharlands Ave
Reno, NV 89523
Phone (775) 245-6117

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

2375 E Prater Way
Sparks, NV 89434
Phone (775) 331-7000

2285 Green Vista Dr
Sparks, NV 89431
Phone (775) 355-1100

Interoperability endpoints

  • Direct secure messaging: patrick.soran.p1@direct.smmg.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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.

Hospital & facility affiliations 9

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663286400000",
    "number": "1619061058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-4090",
            "fax_number": "775-982-6271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DRIVE",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "94305",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Mill St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021576",
            "country_code": "US",
            "telephone_number": "775-982-4090",
            "fax_number": "775-982-6271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SORAN",
        "first_name": "PATRICK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2022-09-16",
        "certification_date": "2022-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "15706",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A75678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A756780",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH  #",
            "identifier": "15066770",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA LIC",
            "identifier": "15706",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.