Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SOPHIE GABRIELLE CARLSON MD
NPI 1578040804
Internal Medicine - Hematology & Oncology in Santa Monica, CA

Q: What is Sophie Carlson's NPI number?

The NPI number for Sophie Carlson is 1578040804. It was assigned to this individual provider in the NPPES registry on July 19, 2018.

Q: What is Sophie Carlson's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Sophie Carlson was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 19, 2018PECOS Enrolled

2020 SANTA MONICA BLVD STE 600, SANTA MONICA, CA 90404(310) 829-5471(310) 829-6192 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2026, Mar 24, 2020, Jul 19, 2018 (3 updates tracked since 2018).

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About Sophie Gabrielle Carlson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOPHIE GABRIELLE CARLSON MD (NPI 1578040804) is an individual hematology & oncology provider in Santa Monica, California, licensed in California (A184804) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578040804

Entity TypeIndividualFemale

Primary Taxonomy207RH0003X

Provider Legal NameSOPHIE GABRIELLE CARLSONCredential: MD

Location Address2020 SANTA MONICA BLVD STE 600Santa Monica, CA 90404-2131

Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631

Phone(310) 829-5471

Fax(310) 829-6192

Sole ProprietorNo

Enumeration DateJuly 19, 2018

Last NPPES UpdateJuly 6, 20263 updates tracked since enumeration

NPPES CertifiedJuly 6, 2026

✔ NPI 1578040804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in CA · A184804

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Also ListedInternal MedicineTaxonomy 207R00000X · License A184804 (CA)

2020 SANTA MONICA BLVD STE 600, Santa Monica, CA 90404

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sophie Gabrielle Carlson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90404 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$187.60 typical visit price

range $62.96 – $187.60

Typical copayment $46.90 (range $15.74 – $46.90)

Most-billed visit code 99205

Established Patient

$109.96 typical visit price

range $20.84 – $153.61

Typical copayment $27.49 (range $5.21 – $38.40)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON LISBERG MD

Internal Medicine (Hematology & Oncology)