Pablo Sobero, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A85824 Issued in CA

Practice address

13050 Heacock St
Moreno Valley, CA 92553-3122

Phone

(951) 485-8490

Fax

(951) 485-8004

NPI assigned

Jun 13, 2006

Last updated

Oct 8, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/DCGCDA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Yucca Family Medical Care, Inc.

  • Primary Care Clinic/Center
  • Yucca Valley, CA
  • NPI 1942640511

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

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.

• Pablo Sobero MD Inc

  dba Rancho Medical Clinic

  • Legal Medicine
  • Moreno Valley, CA
  • NPI 1568470854
  Medicare reassignment NPD Authorized official
• Yucca Family Medical Care, Inc.

  • Family Medicine Physician
  • Yucca Valley, CA
  • NPI 1386820702
  NPD Authorized official
• Yucca Family Medical Care, Inc.

  • Primary Care Clinic/Center
  • Yucca Valley, CA
  • NPI 1942640511
  NPD

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444262400000",
    "number": "1659314318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13050 HEACOCK ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533122",
            "telephone_number": "951-485-8490",
            "fax_number": "951-485-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13050 HEACOCK ST",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925533122",
            "telephone_number": "951-485-8490",
            "fax_number": "951-485-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBERO",
        "first_name": "PABLO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2015-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A85824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2027137",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Logan Smoot
• Judith Annette Smuland, FNP-C
• Lorraine Luke Snow, PH.D.
• Pamela Suzanne Snow
• Victoria Leah Snyder, LCSW
• Social Resources Connection Inc
• Social Resources Network, Inc.
• Yuliana Soe, M.D
• Sarah Temiloluwa Sofeso, PHARMD
• Soudabeh Soheili

• Family Medicine Physician in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.