Individual provider Active NPI

Zoraida Soriano, M.D.

  • Internal Medicine Physician
  • McClellan, CA
National Provider Identifier
1699745612
Registry record updated Apr 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35067685 Issued in OH
Practice address
5342 Dudley Blvd BLDG 98
McClellan, CA 95652-1012
Phone
(916) 561-7400
Fax
(916) 561-7405
NPI assigned
Jan 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35067685 OH Primary

Addresses

Primary practice location

5342 Dudley Blvd BLDG 98
McClellan, CA 95652-1012

Mailing address

5342 Dudley Blvd BLDG 98
McClellan, CA 95652-1012
Phone (916) 561-7400

Other identifiers 2

IdentifierTypeStateIssuer
35067685OtherOHMEDICAL LICENSE NO.
0992654MedicaidOH

Other names 1

  • Dr. Zoraida Reynoso-Soriano Other name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120919000666 CA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6103801899

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

NPI Registry JSON

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239753600000",
    "number": "1699745612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD BLDG 98",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956521012",
            "telephone_number": "916-561-7400",
            "fax_number": "916-561-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5342 DUDLEY BLVD BLDG 98",
            "city": "MCCLELLAN",
            "state": "CA",
            "postal_code": "956521012",
            "telephone_number": "916-561-7400",
            "fax_number": "916-561-7405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "ZORAIDA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2009-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35067685",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NO.",
            "identifier": "35067685",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0992654",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ZORAIDA",
            "last_name": "REYNOSO-SORIANO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in McClellan, CA

Sources for this page

Verify at the official NPI Registry.