Active NPI
Lisa Ann Sorrentino, RN
- Registered Nurse
- San Diego, CA
National Provider Identifier
1972897502
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 789061
- Practice address
- 3853 Rosecrans St
San Diego, CA 92110-3115 - Phone
- (619) 692-8232
- Fax
- (619) 542-4060
- NPI assigned
- May 31, 2011
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 789061 | CA | Primary |
Addresses
Primary practice location
3853 Rosecrans St
San Diego, CA 92110-3115
Mailing address
7251 Dune LN
La Jolla, CA 92037-4907
Phone (617) 596-4778
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lisa.sorrentino@sdcounty.ca.gov |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 789061 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560124800000",
"number": "1972897502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7251 DUNE LN",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920374907",
"telephone_number": "617-596-4778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3853 ROSECRANS ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921103115",
"telephone_number": "619-692-8232",
"fax_number": "619-542-4060"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORRENTINO",
"first_name": "LISA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-31",
"last_updated": "2019-06-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "789061",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lisa.sorrentino@sdcounty.ca.gov",
"affiliation": "N",
"address_1": "3853 Rosecrans St",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921103115",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.