| NPI | 1306870548 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-07-11 |
| Last Updated | 2015-12-10 |
| Mailing Address | 5555 Grossmont Center Dr La Mesa, CA 91942-3019 United States Phone: (858) 248-3634 | Fax: (858) 751-0588 📍 View Map |
| Primary Practice Address | 5555 Grossmont Center Dr, Sharp Grossmont Hospital La Mesa, CA 91942 United States Phone: (858) 248-3634 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | CA | 1306870548 | - |
| Other (non-Medicare) | CA | FY773 | MediCare |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| No | 207RC0200X – Internal Medicine, Critical Care Medicine | WI | 48325 |
| Yes | 207RC0200X – Internal Medicine, Critical Care Medicine | CA | C55036 |
Use our free NPI Lookup tool to find any healthcare provider in the NPPES registry. Search NPI →
About NPI 1306870548
Oleg Yuryevich Sorokoumov MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1306870548. The primary specialty listed is Internal Medicine, Critical Care Medicine. The provider is located in La Mesa, CA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-11. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1306870548?
NPI 1306870548 belongs to Oleg Yuryevich Sorokoumov MD, a Internal Medicine, Critical Care Medicine in La Mesa, CA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1306870548 active?
The current status of NPI 1306870548 in the NPPES registry is Active. The record was last updated on 2015-12-10.
What specialty is NPI 1306870548?
NPI 1306870548 is classified under the taxonomy Internal Medicine, Critical Care Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1306870548?
You can verify NPI 1306870548 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1306870548?
The primary practice address on file for NPI 1306870548 is 5555 Grossmont Center Dr, La Mesa, CA 91942. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1306870548 issued?
NPI 1306870548 was first issued (enumerated) on 2006-07-11. The NPPES record was last updated on 2015-12-10.
Practice Location Map
Oleg Yuryevich Sorokoumov is located at 5555 Grossmont Center Dr, La Mesa, CA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Oleg Yuryevich Sorokoumov. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1306870548. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Critical Care Medicine | 48325 | WI |
| Internal Medicine, Critical Care Medicine | C55036 | CA |