Organization Active NPI

Contemporary Family Practice Inc

  • Clinic/Center
  • Hanford, CA
National Provider Identifier
1619367398
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
CONTEMPORARY FAMILY PRACTICE INC
Practice address
1560 W Lacey Blvd
Suite 101
Hanford, CA 93230-3581
Phone
(559) 772-8285
Fax
(559) 772-8312
NPI assigned
Feb 2, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Authorized official

Name
Eric Neil Sorensen, MDNPI 1063521896
Title
FNP
Phone
(559) 816-3807

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X CA Primary

Addresses

Primary practice location

1560 W Lacey Blvd
Suite 101
Hanford, CA 93230-3581

Mailing address

PO Box 2149
Hanford, CA 93232-2149
Phone (559) 772-8285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20151229001071 CA Part B Supplier - Clinic/Group Practice 1850692310 Receives reassigned benefits from 2 practitioners
Practice locations: Hanford, CA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2107634Contemporary Family Practice Inc1560 W Lacey Blvd Ste 101, Hanford, CA 93230Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Locations

9471 El Camino Real
Atascadero, CA 93422
Phone (760) 579-8430

818 N Douty St
Hanford, CA 93230
Phone (559) 584-6110

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453161600000",
    "number": "1619367398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2149",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932322149",
            "telephone_number": "559-772-8285",
            "fax_number": "559-772-8312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1560 W LACEY BLVD",
            "address_2": "SUITE 101",
            "city": "HANFORD",
            "state": "CA",
            "postal_code": "932303581",
            "telephone_number": "559-772-8285",
            "fax_number": "559-772-8312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONTEMPORARY FAMILY PRACTICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2016-01-19",
        "status": "A",
        "authorized_official_last_name": "SORENSEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "NEIL",
        "authorized_official_title_or_position": "FNP",
        "authorized_official_telephone_number": "559-816-3807",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanford, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.