Mary Rose Sojor

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95029231 Issued in CA

Practice address

222 Coalinga PLZ
Coalinga, CA 93210-1702

Phone

(559) 935-5555

Fax

(559) 935-2827

NPI assigned

Feb 27, 2024

Sex

Female

Sole proprietor

No

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

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Paul a. Griffin, M.D., a Professional Corporation

  • Physician Assistant
  • Coalinga, CA
  • NPI 1467561126
  Medicare reassignment NPD

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

{
    "created_epoch": "1708992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1790541555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 CHIANTI CIR",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932103520",
            "telephone_number": "559-367-9446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 COALINGA PLZ",
            "city": "COALINGA",
            "state": "CA",
            "postal_code": "932101702",
            "telephone_number": "559-935-5555",
            "fax_number": "559-935-2827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOJOR",
        "first_name": "MARY ROSE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-27",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95029231",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95029231",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nobuyuki Shiraishi, NMT MT-BC LCAT
• Babak Shirvani
• Leda L. Smith, PSY. D.
• Candy Soares, PSYD
• Clint J Soares, PHD
• Carolina Solorio
• Christopher Stack, PSY.D.
• Richard Alton Starrett, PSYCHOLOGIST
• Alexandria Faith Steele, PPS COUNSELING
• Janeisa Tadongdouonnang, LPT

• Adult Health Nurse Practitioner in Coalinga, CA
• Providers in Coalinga, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2025; 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.