MEDICARE: AMELIA ANN SORENSEN M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207X00000X	Orthopaedic Surgery Physician	2015023170	MO
2	207XS0106X	Orthopaedic Hand Surgery Physician	A131161	CA

General Provider Information

NPI Number	:	1104053834
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMELIA ANN SORENSEN M.D.

Provider Business Mailing Address
First Line	:	4860 Y ST STE 3800
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95817-2307
Country	:	US
Telephone Number	:	916-734-0902
Fax Number	:

Provider Business Practice Location Address
First Line	:	1535 RIVER PARK DR
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95815-4601
Country	:	US
Telephone Number	:	916-286-1080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/21/2009
Last Update Date	:	08/13/2025

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