Active NPI
Sorin Eremia M D Inc a Prof Corp
- Dermatology Physician
- Riverside, CA
National Provider Identifier
1659472025
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- G42033
- Legal business name
- SORIN EREMIA M D INC A PROF CORP
- Practice address
- 4440 Brockton Ave
Suite 200
Riverside, CA 92501-4068 - Phone
- (951) 275-0988
- Fax
- (951) 275-9223
- NPI assigned
- Sep 26, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sorin Eremia, MD
- Title
- Owner/President
- Phone
- (951) 275-0988
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | G42033 | CA | Primary |
Addresses
Primary practice location
4440 Brockton Ave
Suite 200
Riverside, CA 92501-4068
Mailing address
4440 Brockton Ave
Suite 200
Riverside, CA 92501-4068
Phone (951) 275-0988
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 05D0685074 | Other | CA | CLEA |
| 070002290 | Other | CA | RAILROAD MEDICARE |
| G42033 | Other | CA | LICENCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Dermatology Physician
- Riverside, CA
- NPI 1558394080
-
- Dermatology Physician
- Corona, CA
- NPI 1881790418
-
- Nurse Practitioner
- Riverside, CA
- NPI 1497969562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1681171200000",
"number": "1659472025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4440 BROCKTON AVE",
"address_2": "SUITE 200",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014068",
"telephone_number": "951-275-0988",
"fax_number": "951-275-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 BROCKTON AVE",
"address_2": "SUITE 200",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014068",
"telephone_number": "951-275-0988",
"fax_number": "951-275-9223"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SORIN EREMIA M D INC A PROF CORP",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-26",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A",
"authorized_official_last_name": "EREMIA",
"authorized_official_first_name": "SORIN",
"authorized_official_title_or_position": "OWNER/PRESIDENT",
"authorized_official_telephone_number": "951-275-0988",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dermatology",
"state": "CA",
"license": "G42033",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLEA",
"identifier": "05D0685074",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "070002290",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENCE",
"identifier": "G42033",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.