Active NPI
Sherry Soefje, M.D.
- Psychiatry Physician
- Oceanside, CA
National Provider Identifier
1639260201
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A52993
- Practice address
- 3998 Vista Way
Suite D
Oceanside, CA 92056-4500 - Phone
- (760) 806-1800
- Fax
- (760) 806-1801
- NPI assigned
- Sep 27, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A52993 | CA | Primary |
| Mental Health Counselor | 101YM0800X | A52993 | CA |
Addresses
Primary practice location
3998 Vista Way
Suite D
Oceanside, CA 92056-4500
Mailing address
3998 Vista Way Ste 100
Oceanside, CA 92056-4515
Phone (760) 758-2222
Other practice location 1
3012 W Charleston Blvd Ste 100
Las Vegas, NV 89102-1972
Phone (702) 527-7401
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14446 | Other | NV | NEVADA STATE BOARD OF MEDICAL EXAMINERS |
| CS25002 | Other | NV | BOARD OF PHARMACY |
| 00A529930 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 22, 2016 through Jun 22, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52993 | CA | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arch Health Partners, Inc | Psychiatry | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1639260201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3998 VISTA WAY STE 100",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564515",
"telephone_number": "760-758-2222",
"fax_number": "760-758-2022"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3998 VISTA WAY",
"address_2": "SUITE D",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920564500",
"telephone_number": "760-806-1800",
"fax_number": "760-806-1801"
}
],
"practiceLocations": [
{
"address_1": "3012 W Charleston Blvd Ste 100",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891021972",
"country_code": "US",
"telephone_number": "702-527-7401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOEFJE",
"first_name": "SHERRY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A52993",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "A52993",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEVADA STATE BOARD OF MEDICAL EXAMINERS",
"identifier": "14446",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PHARMACY",
"identifier": "CS25002",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A529930",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.