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
- Last updated
- Mar 7, 2023
- 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
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Palomar Health Medical Group
- Family Medicine Physician
- Poway, CA
- NPI 1649500141
Psychiatry
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": [],
"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.