Mikaela Katherine Sorensen, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000057963 Issued in CA

Practice address

50 Valparaiso Ave
Atherton, CA 94027-4401

Phone

(408) 601-8452

NPI assigned

Aug 27, 2025

Last updated

Aug 27, 2025By the provider in NPPES

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1756252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756252800000",
    "number": "1972482735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 VALPARAISO AVE",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940274401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 VALPARAISO AVE",
            "city": "ATHERTON",
            "state": "CA",
            "postal_code": "940274401",
            "telephone_number": "408-601-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORENSEN",
        "first_name": "MIKAELA",
        "middle_name": "KATHERINE",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-27",
        "last_updated": "2025-08-27",
        "certification_date": "2025-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000057963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cyrus S. Safai, M.D,
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• Eric David Smith, M.D.
• Eddie P. So, MD
• Donald Russel Stanski, M.D.
• Jessie Anne Starr, MA, ATC
• Steven K Struck, MD
• Gayatri Sundararajan, DDS
• Jonathan Scott Surface, MA, ATC

• Athletic Trainer in Atherton, CA
• Providers in Atherton, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2025; 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.