Individual provider Active NPI

Sonya White, LMT

  • Specialist
  • San Francisco, CA
National Provider Identifier
1053608620
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
304 H71 Issued in CA
Practice address
3223 Balboa St
Ste. a
San Francisco, CA 94121-2731
Phone
(415) 786-1596
Fax
(415) 752-7233
NPI assigned
Jul 5, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 304 H71 CA Primary

Addresses

Primary practice location

3223 Balboa St
Ste. a
San Francisco, CA 94121-2731

Mailing address

3223 Balboa St
Ste. a
San Francisco, CA 94121-2731
Phone (415) 786-1596

Other identifiers 1

IdentifierTypeStateIssuer
304 H71OtherCACITY & COUNTY OF SAN FRANCISCO MASSAGE LICENSE CERTIFICATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
304 H71CAMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1053608620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3223 BALBOA ST",
            "address_2": "STE. A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212731",
            "telephone_number": "415-786-1596",
            "fax_number": "415-752-7233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3223 BALBOA ST",
            "address_2": "STE. A",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941212731",
            "telephone_number": "415-786-1596",
            "fax_number": "415-752-7233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "SONYA",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "304 H71",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITY & COUNTY OF SAN FRANCISCO MASSAGE LICENSE CERTIFICATE",
            "identifier": "304 H71",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.