Individual provider Active NPI

Lisa Sonnenblick

  • Emergency Medicine Physician
  • Roseville, CA
National Provider Identifier
1992190250
Registry record updated Sep 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A154950 Issued in CA
Practice address
1600 Eureka Rd
Roseville, CA 95661-3027
Phone
(661) 713-5627
NPI assigned
Apr 3, 2015
Last updated
Sep 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A154950 CA Primary

Addresses

Primary practice location

1600 Eureka Rd
Roseville, CA 95661-3027

Mailing address

6035 Lincoln Ave
Carmichael, CA 95608-1719
Phone (661) 713-5627

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq Health Information Exchange (HIE) The Permanente Medical Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV, NM3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190218001000 CA Practitioner - Emergency Medicine 6800189820 Reassigns benefits to 6 organizations
I20240409003499 NV Practitioner - Emergency Medicine 6800189820
I20251217003380 NM Practitioner - Emergency Medicine 6800189820 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Florida Atlantic University, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Permanente Medical Group IncGroup PAC ID 8921910225, 10,928 clinicians

Practice addresses (Care Compare)

1600 Eureka Rd
Roseville, CA 95661-3027
Phone (916) 784-4000

350 S Oak Ave
Oakdale, CA 95361-3519
Phone (209) 847-3012

4900 N Lovington Hwy
Hobbs Hospital
Hobbs, NM 88240-9109
Phone (575) 492-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A154950CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Permanente Medical Group Inc Emergency Medicine Current Accepting new patients
Sound Physicians Emergency Medicine of Southern California, P.C. Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Emergency Physicians Associates San Jose PC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Mount Eddy Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Aug 28, 2023 Accepting new patients
Team Physicians of California Medical Group Inc Emergency Medicine CurrentSince Feb 1, 2023 Accepting new patients
Hospitalist Medicine Physicians of New Mexico - Clovis, LLC Emergency Medicine CurrentSince Oct 9, 2025 Accepting new patients
Permanente Medical Group, Inc CurrentSince Nov 16, 2018 Accepting new patients
Trinity Emergency Physicians Emergency Medicine CurrentSince Apr 3, 2025 Accepting new patients
Nevada Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 25, 2024 Accepting new patients
Nevada Emergency Physicians PLLC Emergency Medicine CurrentSince Feb 25, 2024 Accepting new patients
Permanente Medical Group Inc Emergency Medicine CurrentSince Nov 16, 2018 Accepting new patients

Locations (25 of 26)

750 Auburn Ravine Rd
Auburn, CA 95603
Phone (530) 823-6131

4753 W Shaw Ave
Ste 101
Fresno, CA 93722
Phone (559) 277-8738

900 N Douty St
Hanford, CA 93230
Phone (559) 587-9014

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

914 Pine St
Mount Shasta, CA 96067
Phone (503) 926-6111

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

101 Monroe St
Petaluma, CA 94954
Phone (707) 763-4109

1100 Butte St
Redding, CA 96001
Phone (530) 227-6361

1150 Veterans Blvd
Redwood City, CA 94063
Phone (650) 299-2015

901 Nevin Ave
Richmond, CA 94801
Phone (510) 307-1500

930 W Main St
Ripon, CA 95366
Phone (209) 599-4221

1600 Eureka Rd
Roseville, CA 95661
Phone (916) 474-7777

501 J St
Sacramento, CA 95814
Phone (916) 497-3000

2200 Ofarrell St
San Francisco, CA 94115
Phone (415) 202-2000

2105 Forest Ave
San Jose, CA 95128
Phone (408) 947-2500

710 Lawrence Expy
Santa Clara, CA 95051
Phone (408) 236-6400

5615 Scotts Valley Dr
Scotts Valley, CA 95066
Phone (831) 430-2700

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

7373 West Ln
Stockton, CA 95210
Phone (209) 476-2000

975 Sereno Dr
Vallejo, CA 94589
Phone (707) 651-1000

320 N Crawford St
Willows, CA 95988
Phone (530) 934-2834

4900 N Lovington Hwy
Hobbs, NM 88240
Phone (575) 492-5000

4801 Beckner Rd
#F
Santa Fe, NM 87507
Phone (505) 772-1234

1041 Steamboat Pkwy
Reno, NV 89521
Phone (702) 505-4230

6500 Longley Ln
Reno, NV 89511
Phone (775) 331-7000

Interoperability endpoints

  • Direct secure messaging: lsonnenblick230358@santaclaravalley.direct-ci.net

Organizations & group practices 11

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.

Hospital & facility affiliations 5

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": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696032000000",
    "number": "1992190250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 LINCOLN AVE",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956081719",
            "telephone_number": "661-713-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 EUREKA RD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956613027",
            "telephone_number": "661-713-5627"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SONNENBLICK",
        "first_name": "LISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-03",
        "last_updated": "2023-09-30",
        "certification_date": "2023-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A154950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "The Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1600 Eureka Rd",
            "city": "Roseville",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956613027",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

Verify at the official NPI Registry.