Theodore Joseph Sobieralski, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

G74662 Issued in CA

Practice address

1700 S Court St
Suite D
Visalia, CA 93277-4929

Phone

(559) 732-0637

Fax

(559) 732-5125

NPI assigned

Jun 5, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• County of Tulare

  • Community/Behavioral Health Agency
  • Visalia, CA
  • NPI 1407304678
  NPD
• County of Tulare

  • Federally Qualified Health Center (FQHC)
  • Visalia, CA
  • NPI 1457385163
  NPD
• County of Tulare

  • Community/Behavioral Health Agency
  • Porterville, CA
  • NPI 1518418581
  NPD

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

{
    "created_epoch": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475712000000",
    "number": "1700825866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST",
            "address_2": "SUITE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774929",
            "telephone_number": "559-732-0637",
            "fax_number": "559-732-5125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S COURT ST",
            "address_2": "SUITE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774929",
            "telephone_number": "559-732-0637",
            "fax_number": "559-732-5125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBIERALSKI",
        "first_name": "THEODORE",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-05",
        "last_updated": "2016-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "CA",
            "license": "G74662",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G74662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Snowdrop Holdings, LLC
• Aubrie Anne Soares, FNP
• Desiree Ann Soares
• Sandra Soares, FNP
• Sober Path Homes LLC
• Tyler Sobotka, DNP-A, CRNA
• Lida Sok
• Stephanie Kimleang Soklim, PHARMD
• Alexis Solis
• Aleysa Solis

• Pediatrics Physician in Visalia, CA
• Providers in Visalia, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.