DR. SHIROKO LILES SOKITCH MD NPI 1235229006

NPI Information

NPI: 1235229006
Provider Name: DR. SHIROKO LILES SOKITCH, MD
Classification: General Practice - 208D00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
3471 REGIONAL PKWY STE D
SANTA ROSA, CA
ZIP 95403
Phone: (707) 524-9640
Get Directions

DR. Shiroko Liles Sokitch, MD is a general practice in Santa Rosa, CA. DR. Shiroko Liles Sokitch, MD NPI is 1235229006. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3471 REGIONAL PKWY STE D
SANTA ROSA, CA
ZIP 95403-269
Phone: (707) 524-9640
Fax: (707) 524-9649

The NPI 1235229006 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/13/2006 and was last updated on 10/23/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		G071078	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G071078	OTHER	CALIFORNIA	CA LICENSE
2	00G710780	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	CA MEDICARE ID
3	E53764	MEDICARE UPIN	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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