Active NPI
Sorina Carabeth, MD
- Psychiatry Physician
- San Luis Obispo, CA
National Provider Identifier
1912039496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A48530
- Practice address
- 805 Aerovista PL
102
San Luis Obispo, CA 93401-7919 - Phone
- (805) 541-3032
- Fax
- (805) 541-5054
- NPI assigned
- Mar 11, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | A48530 | CA | Primary |
Addresses
Primary practice location
805 Aerovista PL
102
San Luis Obispo, CA 93401-7919
Mailing address
805 Aerovista PL
102
San Luis Obispo, CA 93401-7919
Phone (805) 541-3032
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective May 4, 2016 through May 4, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48530 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1395360000000",
"number": "1912039496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "805 AEROVISTA PL",
"address_2": "102",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017919",
"telephone_number": "805-541-3032",
"fax_number": "805-541-5054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 AEROVISTA PL",
"address_2": "102",
"city": "SAN LUIS OBISPO",
"state": "CA",
"postal_code": "934017919",
"telephone_number": "805-541-3032",
"fax_number": "805-541-5054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARABETH",
"first_name": "SORINA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-11",
"last_updated": "2014-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A48530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Luis Obispo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2014; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.