Active NPI
Sornya Ponrartana MD Inc
- General Practice Physician
- Santa Ana, CA
National Provider Identifier
1710247085
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- A102825
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1567039 | Medicaid | CA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2016658 | Sornya Ponrartana, MD Inc | Certificate of waiver | Nov 21, 2026 |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Pediatrics Physician
- Santa Ana, CA
- NPI 1225131857
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.