Organization Active NPI

Sornya Ponrartana MD Inc

  • General Practice Physician
  • Santa Ana, CA
National Provider Identifier
1710247085
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A102825 Issued in CA
Legal business name
SORNYA PONRARTANA MD INC
Practice address
3526 W 1St St
Santa Ana, CA 92703-3302
Phone
(714) 839-6611
Fax
(714) 839-6612
NPI assigned
May 21, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Authorized official

Name
Sornya Ponrartana, M.D.
Title
MD
Phone
(714) 839-6611

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208D00000X A102825 CA Primary

Addresses

Primary practice location

3526 W 1St St
Santa Ana, CA 92703-3302

Mailing address

3526 W 1St St
Santa Ana, CA 92703-3302
Phone (714) 839-6611

Other identifiers 1

IdentifierTypeStateIssuer
1567039MedicaidCA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
05D2016658Sornya Ponrartana, MD Inc3526 W 1St St, Santa Ana, CA 92703Certificate of waiverNov 21, 2026

National Provider Directory

National Provider Directory

Locations

3526 W 1st St
Santa Ana, CA 92703
Phone (714) 839-6611

Practitioners & affiliated clinicians

Practitioners 1

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": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1710247085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3526 W 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033302",
            "telephone_number": "714-839-6611",
            "fax_number": "714-839-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3526 W 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927033302",
            "telephone_number": "714-839-6611",
            "fax_number": "714-839-6612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SORNYA PONRARTANA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "PONRARTANA",
        "authorized_official_first_name": "SORNYA",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "714-839-6611",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A102825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1567039",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.