Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sonja Derose, MD

Individual provider Family Medicine Physician · NPI 1558849661

Sonja Derose, MD is a Family Practice in Clearlake, California. Graduated from Loma Linda University School of Medicine in 1989, 37 years ago. Practices with Newstart Medical Group Inc, a 22-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
37
Trained at
Loma Linda University School of Medicine
Licensed in
CA
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

15230 Lakeshore Dr
Clearlake, CA 95422-8107
Phone: (707) 995-4500
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence G151475 (CA)

Record details

NPI number1558849661
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 31, 2018
Last updated in NPPESJuly 31, 2018
Mailing addressPo Box 279, Foresthill, CA 95631-0279

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1989 (37 years in practice)
Group practice Newstart Medical Group Inc — 22 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Clearlake