Organization Active NPI

Sorin Eremia M D Inc a Prof Corp

  • Dermatology Physician
  • Riverside, CA
National Provider Identifier
1659472025
Registry record updated Apr 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
G42033 Issued in CA
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

Updated by the provider on Apr 11, 2023

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

Authorized official

Name
Dr. Sorin Eremia, MDNPI 1558394080
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)CodeLicenseStatePrimary
Dermatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
05D0685074OtherCACLEA
070002290OtherCARAILROAD MEDICARE
G42033OtherCALICENCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080215000258 CA Part B Supplier - Clinic/Group Practice 6800979782 Receives reassigned benefits from 1 practitioner
Practice locations: Riverside, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.