Individual provider Active NPI

Carlos Sobral, MD

  • Family Medicine Physician
  • Fullerton, CA
National Provider Identifier
1891796603
Registry record updated Apr 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A30422 Issued in CA
Practice address
2720 N Harbor Blvd
Suite 100
Fullerton, CA 92835-2609
Phone
(714) 449-6900
Fax
(714) 680-8766
NPI assigned
Aug 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 30, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A30422 CA Primary

Addresses

Primary practice location

2720 N Harbor Blvd
Suite 100
Fullerton, CA 92835-2609

Mailing address

279 Imperial Hwy
Suite 730
Fullerton, CA 92835-1041
Phone (714) 449-4841

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040526001685 CA Practitioner - Family Practice 3375524218 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anchor Medical GroupGroup PAC ID 9133616519, 19 clinicians
Caduceus Physicians Medical GroupGroup PAC ID 5294762654, 23 clinicians

Practice addresses (Care Compare)

18200 Yorba Linda Blvd
Suite 250
Yorba Linda, CA 92886-4044
Phone (714) 577-6031

19742 Macarthur Blvd
Suite 100
Irvine, CA 92612-2408
Phone (949) 428-0330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A30422CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Anchor Medical Group Family Medicine CurrentSince Aug 23, 2025 Accepting new patients
Caduceus Physicians Medical Group Family Medicine CurrentSince Apr 1, 2018 Accepting new patients
Anaheim Memorial Medical Center Past Accepting new patients
Orange Coast Memorial Medical Center Past Accepting new patients
St Jude Hospital Inc Past Accepting new patients

Locations

19742 MacArthur Blvd
Ste 100
Irvine, CA 92612
Phone (714) 646-8034

333 Thalia St
Laguna Beach, CA 92651
Phone (949) 499-0577

18200 Yorba Linda Blvd
Ste 308
Yorba Linda, CA 92886
Phone (714) 646-8070

18220 Yorba Linda Blvd
Ste 301
Yorba Linda, CA 92886
Phone (714) 599-8084

18200 Yorba Linda Blvd
Ste 250
Yorba Linda, CA 92886
Phone (714) 577-6000

18200 Yorba Linda Blvd
Ste 111
Yorba Linda, CA 92886

18300 Yorba Linda Blvd
Ste 204
Yorba Linda, CA 92886
Phone (714) 646-8034

18300 Yorba Linda Blvd
Ste 201
Yorba Linda, CA 92886
Phone (714) 572-3240

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 5

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1891796603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 IMPERIAL HWY",
            "address_2": "SUITE 730",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928351041",
            "telephone_number": "714-449-4841",
            "fax_number": "714-449-4956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2720 N HARBOR BLVD",
            "address_2": "SUITE 100",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928352609",
            "telephone_number": "714-449-6900",
            "fax_number": "714-680-8766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOBRAL",
        "first_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A30422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fullerton, CA

Sources for this page

Verify at the official NPI Registry.