Individual provider Active NPI

Anna Sorkin, DPM

  • Foot Surgery Podiatrist
  • Oakland, CA
National Provider Identifier
1780745661
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
E4217 Issued in CA
Practice address
419 30TH St Ste a
Oakland, CA 94609-3301
Phone
(510) 444-8733
Fax
(510) 444-3668
NPI assigned
Dec 13, 2006
Sex
Female
Sole proprietor
Yes

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot Surgery Podiatrist 213ES0131X E4217 CA Primary

Addresses

Primary practice location

419 30TH St Ste a
Oakland, CA 94609-3301

Mailing address

5516 Vallejo St
Emeryville, CA 94608-2624
Phone (510) 444-8733

Other identifiers 1

IdentifierTypeStateIssuer
000E42170MedicaidCA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040723000806 CA Practitioner - Podiatry 9234119769 Practice locations: Oakland, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2929 Summit St
Suite 101
Oakland, CA 94609-3423
Phone (510) 444-8733

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue46
Removal of skin lesions1-10
Removal of nail tissue882
Removal or shaving of skin growth501

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
E4217CAMDFoot Surgery Podiatrist
4217CAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1780745661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5516 VALLEJO ST",
            "city": "EMERYVILLE",
            "state": "CA",
            "postal_code": "946082624",
            "telephone_number": "510-444-8733",
            "fax_number": "510-444-3668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 30TH ST STE A",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946093301",
            "telephone_number": "510-444-8733",
            "fax_number": "510-444-3668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORKIN",
        "first_name": "ANNA",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-13",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E4217",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E42170",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

Verify at the official NPI Registry.