Active NPI
Carlos Sobral, MD
- Family Medicine Physician
- Fullerton, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A30422
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A30422 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anchor Medical Group | Family Medicine | Current | Accepting new patients |
| Caduceus Physicians Medical Group | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Yorba Linda, CA
- NPI 1700678810
-
- Family Medicine Physician
- Yorba Linda, CA
- NPI 1497702724
-
- General Acute Care Hospital
- Anaheim, CA
- NPI 1295782381
-
- General Acute Care Hospital
- Fountain Valley, CA
- NPI 1497702575
-
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.