Erik Patrick Sorenson, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA16044 Issued in CA

Practice address

3650 South St Ste 306
Lakewood, CA 90712-1516

Phone

(562) 633-6353

NPI assigned

Apr 2, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Western University of Health Sciences College of Dental Med, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

William J Wickwire M D Inc a Professional CorporationGroup PAC ID 7315974375, 10 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• William J Wickwire M D Inc a Professional Corporation

  • Dermatology Physician
  • Redondo Beach, CA
  • NPI 1326119165
  Medicare reassignment Care Compare group
• Los Angeles ENT Facial Plastics Center, Inc

  • Medical Specialty Clinic/Center
  • Redondo Beach, CA
  • NPI 1225463797
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1720109614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1253 VALPARAISO DR E",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703930",
            "telephone_number": "714-986-9915",
            "fax_number": "562-633-4996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 SOUTH ST STE 306",
            "city": "LAKEWOOD",
            "state": "CA",
            "postal_code": "907121516",
            "telephone_number": "562-633-6353"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSON",
        "first_name": "ERIK",
        "middle_name": "PATRICK",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA16044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Johnny Kimleang Sok
• Julisa Solares
• Somnomedix Corporation
• Sonaz LLC
• Jason Song, DDS
• Manuel Soto Morales
• Source Mobility Incorporated
• South Cerritos Medical Group, Inc.
• South Coast Heart & Vascular a Medical Group Inc
• South Coast Physical Therapy

• Physician Assistant in Lakewood, CA
• Providers in Lakewood, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• 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.