Individual provider Active NPI

Sally Kei Mason

  • Family Nurse Practitioner
  • Folsom, CA
National Provider Identifier
1013539121
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95013367 Issued in CA
Practice address
510 Plaza Dr Ste 170
Folsom, CA 95630-4790
Phone
(916) 351-9400
NPI assigned
May 12, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95013367 CA Primary
Prescribing (Medical) Psychologist 103TP0016X

Addresses

Primary practice location

510 Plaza Dr Ste 170
Folsom, CA 95630-4790

Mailing address

413 Chateau la Salle Dr
San Jose, CA 95111-3034
Phone (408) 679-2779

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sallymason@advancedpsychiatryassociates.com
CONNECT URL https://advancedpsychiatryassociates.com/resources/patient-forms/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200817002900 CA Practitioner - Nurse Practitioner 6406272442 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95013367CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hisham Soliman MD Inc CurrentSince Jul 1, 2020 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Molina Healthcare of California CurrentSince Nov 17, 2025 Accepting new patients
H Soliman Medical Corporation Past Accepting new patients

Locations

510 Plaza Dr
Ste 170
Folsom, CA 95630
Phone (877) 272-5818

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

2440 Professional Dr
Roseville, CA 95661
Phone (916) 781-3050

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1013539121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 CHATEAU LA SALLE DR",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951113034",
            "telephone_number": "408-679-2779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 PLAZA DR STE 170",
            "city": "FOLSOM",
            "state": "CA",
            "postal_code": "956304790",
            "telephone_number": "916-351-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASON",
        "first_name": "SALLY",
        "middle_name": "KEI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95013367",
            "primary": true
        },
        {
            "code": "103TP0016X",
            "taxonomy_group": "",
            "desc": "Psychologist, Prescribing (Medical)",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sallymason@advancedpsychiatryassociates.com",
            "affiliation": "N",
            "address_1": "413 Chateau La Salle Dr",
            "city": "San Jose",
            "state": "CA",
            "country_code": "US",
            "postal_code": "951113034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://advancedpsychiatryassociates.com/resources/patient-forms/",
            "affiliation": "N",
            "address_1": "510 Plaza Dr Ste 170",
            "city": "Folsom",
            "state": "CA",
            "country_code": "US",
            "postal_code": "956304790",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Folsom, CA

Sources for this page

Verify at the official NPI Registry.