Kaitlin Anne Soracco, O.D.

Primary specialty

OptometristTaxonomy code 152W00000X

License

OPT33495-TLG Issued in CA

Practice address

320 H St Ste 4
Marysville, CA 95901-5834

Phone

(530) 743-1873

NPI assigned

Aug 4, 2016

Sex

Female

Sole proprietor

No

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: ksoracco242387@direct.ochin.org

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.

• Cares Community Health

  • Federally Qualified Health Center (FQHC)
  • Sacramento, CA
  • NPI 1447297379
  Medicare reassignment NPD
• Ridge Eye Care Inc

  • Ophthalmology Physician
  • Chico, CA
  • NPI 1699078030

  Optometrist

  Medicare reassignment NPD
• Cares Community Health

  • Federally Qualified Health Center (FQHC)
  • Carmichael, CA
  • NPI 1255180873
  NPD
• Dignity Health

  • General Acute Care Hospital
  • Sacramento, CA
  • NPI 1487694857
  NPD (past)
• North Valley Eye Care

  • Ophthalmology Physician
  • Chico, CA
  • NPI 1043475627

  Optometrist

  NPD (past)
• Peach Tree Healthcare

  • Federally Qualified Health Center (FQHC)
  • Marysville, CA
  • NPI 1003863622

  Optometrist

  NPD (past)
• Sutter North Medical Foundation

  • Ambulatory Surgical Clinic/Center
  • Yuba City, CA
  • NPI 1144251521
  NPD (past)

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

{
    "created_epoch": "1470268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1881148179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 BRUCE RD",
            "city": "CHICO",
            "state": "CA",
            "postal_code": "959287941",
            "telephone_number": "530-891-1900",
            "fax_number": "530-895-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 H ST STE 4",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "959015834",
            "telephone_number": "530-743-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORACCO",
        "first_name": "KAITLIN",
        "middle_name": "ANNE",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-04",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "OPT33495-TLG",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elissia Soito
• Kayla Sokoloski, LVN
• Ann Soliday, R.N.
• Iris Solorio
• Eric Josafat Solorzano, REGISTERED NURSE
• Mayra Soria-Ruvulcaba
• SP Plus Corporation
• Diane M Speelman
• Valerie Jayne Spooner, RN
• Natalie Stone

• Optometrist in Marysville, CA
• Providers in Marysville, CA by specialty
• Optometrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; 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.