Individual provider Active NPI

Sarka Cernosek, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Los Angeles, CA
National Provider Identifier
1629223201
Registry record updated Jul 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
A90642 Issued in CA
Practice address
10833 Le Conte Ave
Los Angeles, CA 90095-3075
Phone
(310) 794-1355
NPI assigned
Nov 24, 2008
Last updated
Jul 5, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X A90642 CA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X A90642 CA Primary

Addresses

Primary practice location

10833 Le Conte Ave
Los Angeles, CA 90095-3075

Mailing address

22214 Evening Star CT
Santa Clarita, CA 91390-5765
Phone (661) 297-3613

Other identifiers 1

IdentifierTypeStateIssuer
00A906420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ, TX3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20090112000174 CA Practitioner - Pathology 2668535030 Reassigns benefits to 1 organization
I20240613004160 AZ Practitioner - Pathology 2668535030 Reassigns benefits to 1 organization
I20241120001094 TX Practitioner - Pathology 2668535030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Ross Gunter MD IncGroup PAC ID 0042108326, 13 clinicians

Practice addresses (Care Compare)

1101 4TH Ave
Canyon, TX 79015-3701
Phone (806) 655-7155

44215 15TH St W
Suite 309
Lancaster, CA 93534-5505
Phone (661) 949-0004

5950 S Cooper Rd
Suite 4
Chandler, AZ 85249-2221
Phone (661) 949-0004

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey Ross Gunter MD Inc CurrentSince Dec 26, 2018 Accepting new patients
CPLM Pathology Outreach Services Anatomic Pathology & Clinical Pathology Past Accepting new patients
Consultants for Path & Lab Med Inc, a Medical Group Past Accepting new patients

Locations

5950 S Cooper Rd
Ste 4
Chandler, AZ 85249
Phone (480) 758-4998

2401 N Stockton Hill Rd
Ste 5
Kingman, AZ 86401
Phone (909) 335-8640

44215 15th St W
Ste 309
Lancaster, CA 93534
Phone (661) 949-0000

1101 4th Ave
Canyon, TX 79015
Phone (806) 655-7155

200 N Lutterloh Ave
Gatesville, TX 76528
Phone (661) 949-0004

6609 Sanger Ave
Waco, TX 76710
Phone (254) 399-6941

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1227484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1499212800000",
    "number": "1629223201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22214 EVENING STAR CT",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913905765",
            "telephone_number": "661-297-3613",
            "fax_number": "661-803-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10833 LE CONTE AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900953075",
            "telephone_number": "310-794-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERNOSEK",
        "first_name": "SARKA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-24",
        "last_updated": "2017-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "CA",
            "license": "A90642",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CA",
            "license": "A90642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A906420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.