LISA MOSER SORENSEN (NPI# 1366594582) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366594582 |
| Entity Type | Individual |
| Full Name | LISA MOSER SORENSEN |
| Credential | MD |
| Practice Address |
401 Bicentennial Way Santa Rosa CA 95403-2149 |
| Mailing Address |
1800 Harrison St Fl 7 Oakland CA 94612-3429 |
| Practice Telephone | 7075714000 |
| Mailing Telephone | 5106256262 |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | A68195 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00A681950 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467987313 | Lisa Sorensen | Psychologist | 5200 Willson Road, #445, Edina, MN 55424 | 2017-04-28 |
| 1497809768 | Lisa Sorensen | Clinical Neuropsychologist | 855 E Golf Rd Ste 2139, Arlington Heights, IL 60005-5225 | 2007-01-23 |
| 1245662782 | Lisa M Sorensen | Counselor | 1011 Leavenworth St, Omaha, NE 68102-2933 | 2013-08-07 |
| 1699039115 | Lisa Mk Sorensen | Massage Therapist | 16742 Se Division St, Portland, OR 97236-1414 | 2012-06-28 |
| 1487952131 | Lisa Sorensen | Counselor | 780 Guardsman Way, Salt Lake City, UT 84108-1374 | 2011-03-04 |
| 1265659940 | Lisa K Sorensen | Nurse Practitioner | 10101 Ridgegate Pkwy, Lone Tree, CO 80124-5522 | 2007-04-20 |
| 1023189354 | Lisa Ellen Sorensen | Nurse Practitioner | 700 Garden View Ct, Suite 102, Encinitas, CA 92024-2478 | 2006-11-10 |
| Street Address |
401 BICENTENNIAL WAY |
| City | SANTA ROSA |
| State | CA |
| Zip Code | 95403-2149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649276940 | Virginia E Hofmann | Psychiatry & Neurology | 401 Bicentennial Way, Department of Psychiatry, Santa Rosa, CA 95403-2149 | 2005-06-22 |
| 1376142646 | Denny Jeb Piolo Sta Ana | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-10-19 |
| 1417564915 | Nancy Patricia Prussiamerritt | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-09-28 |
| 1629682042 | Mio John Villagomez | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-09-02 |
| 1679181861 | Miriam Stone | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-07-14 |
| 1902414196 | Brenda L Yates | Respiratory Therapist, Registered | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-07-14 |
| 1215550801 | John Callander | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-05-18 |
| 1124649074 | Gustavo Gabriel Romero | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-05-01 |
| 1184244147 | Kimberly Hower | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-04-20 |
| 1316574452 | Constantine Kulkoff | Student in an Organized Health Care Education/Training Program | 401 Bicentennial Way, Santa Rosa, CA 95403-2149 | 2020-03-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912549841 | Abundance Acupuncture Healing Clinic | Acupuncturist | 3410 Mendocino Avenue, Santa Rosa, CA 95403 | 2019-10-11 |
| 1982161337 | Crystal J Ward | Registered Nurse | 2350 Mendocino Ave, Ste A4, Santa Rosa, CA 95403 | 2019-02-21 |
| 1033674379 | George Edward Griese | Respiratory Therapist, Registered | 501 Bicentennial Way, Santa Rosa, CA 95403 | 2019-01-31 |
| 1508320672 | East-west Natural Medicine Inc. | Acupuncturist | 2200 Range Ave #207, Santa Rosa, CA 95403 | 2019-01-23 |
| 1316410640 | Lionel C Cooper | Counselor | 315 Mark West Springs Road, Santa Rosa, CA 95403 | 2019-01-09 |
| 1326519182 | Jkb Solutions Inc. | In Home Supportive Care | 3554 Round Barn Boulevard, Suite 311, Santa Rosa, CA 95403 | 2018-12-05 |
| 1487121265 | Catholic Charities of The Diocese of Santa Rosa | Clinic/Center | 987 Airway Ct, Santa Rosa, CA 95403 | 2018-10-30 |
| 1447746524 | Lisa Jean Quang | Optometrist | 3925 Old Redwood, Medical Office Building 4, Suite 141, Santa Rosa, CA 95403 | 2018-07-02 |
| 1598253353 | Jennifer Renee Lummus | Community Health Worker | 3614 Condo Court, Santa Rosa, CA 95403 | 2018-04-27 |
| 1871042366 | Sadie Thuet | Marriage & Family Therapist | 3434 A Mendocino Ave, Santa Rosa, CA 95403 | 2016-09-26 |
| Find all providers in zip 95403 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346696358 | Ira Golditch | Obstetrics & Gynecology | 1401 Fountaingrove Pkwy, #305, Santa Rosa, CA 95403-5757 | 2016-05-09 |
| 1962777318 | John P. Renfree | Obstetrics & Gynecology | 6010 Melita Rd, Santa Rosa, CA 95409-5725 | 2012-03-19 |
| 1427349869 | Nicole Boon Jung Kwon | Obstetrics & Gynecology | 34 Mark West Springs Road, Second Floor, Santa Rosa, CA 95403 | 2011-04-20 |
| 1285957936 | Sahar Doctorvaladan | Obstetrics & Gynecology | 500 Doyle Park Dr Ste 200, Santa Rosa, CA 95405-4559 | 2010-03-09 |
| 1801992128 | Womens Ob/gyn Medical Group | Obstetrics & Gynecology | 500 Doyle Park Drive, Suite 103, Santa Rosa, CA 95405-9559 | 2006-09-15 |
| 1811902612 | Lela M Emad | Obstetrics & Gynecology | 1111 Sonoma Avenue, Suite 202, Santa Rosa, CA 95405 | 2006-07-30 |
| 1437170065 | C.h. Wilkinson Physician Network | Obstetrics & Gynecology | Highway 107 & La Feria Avenue, Santa Rosa, TX 78593 | 2006-07-21 |
| 1831123447 | Leonard John Klay | Obstetrics & Gynecology | 1927 E Foothill Dr, Santa Rosa, CA 95404-3154 | 2006-07-10 |
| 1902422280 | Khawaja Md Inc | Obstetrics & Gynecology | 990 Sonoma Ave Ste 18, Santa Rosa, CA 95404-4813 | 2020-06-22 |
| 1164816252 | Estrelania S Williams | Obstetrics & Gynecology | 500 Doyle Park Dr Ste 103, Santa Rosa, CA 95405-4559 | 2015-03-26 |
| Find all providers in SANTA ROSA | ||||
| City | SANTA ROSA |
| Zip Code | 95403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.