Individual provider Active NPI

Michael Soroudi, PMHNP, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • San Juan Capistrano, CA
National Provider Identifier
1851770929
Registry record updated Jun 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95003481 Issued in CA
Practice address
31012 Via Mirador
San Juan Capistrano, CA 92675-1741
Phone
(714) 458-0678
NPI assigned
May 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95003481 CA Primary

Addresses

Primary practice location

31012 Via Mirador
San Juan Capistrano, CA 92675-1741

Mailing address

31012 Via Mirador
San Juan Capistrano, CA 92675-1741
Phone (714) 458-0678

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1432252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782432000000",
    "number": "1851770929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31012 VIA MIRADOR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751741",
            "telephone_number": "714-458-0678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31012 VIA MIRADOR",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926751741",
            "telephone_number": "714-458-0678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOROUDI",
        "first_name": "MICHAEL",
        "credential": "PMHNP, FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-22",
        "last_updated": "2026-06-26",
        "certification_date": "2026-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95003481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.