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GREGG S. SORENSEN MD NPI 1043494016


NPI Information

NPI: 1043494016
Provider Name: GREGG S. SORENSEN, MD

Doing Business As: WILLOW PASS MEDICAL GROUP

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
53 MANOR DR
SUITE A
BAY POINT, CA
ZIP 94565
Phone: (925) 458-6125
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GREGG S. SORENSEN, MD is a family medicine in Bay Point, CA. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. GREGG S. SORENSEN, MD NPI is 1043494016. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Willow Pass Medical Group.

The provider's business location address is:

53 MANOR DR
SUITE A
BAY POINT, CA
ZIP 94565-647
Phone: (925) 458-6125
Fax: (925) 458-8513

The provider's authorized official is Gregg Synder Sorensen .
The authorized official title is Physician/owner and has the following contact phone number (925) 890-3356.

The enumeration date for this NPI number is 12/26/2007 and was last updated on 12/26/2007.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineG55173CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1A52886MEDICARE UPINCALIFORNIA
2GR0030700MEDICAIDCALIFORNIA
3ZZZ16854ZMEDICARE PINCALIFORNIA

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: 4/28/2024

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