Active NPI
Ada Sosa
- Community Health Worker
- Berkeley, CA
National Provider Identifier
1063235703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Worker
- Practice address
- 2855 Telegraph Ave
Berkeley, CA 94705-1128 - Phone
- (510) 541-1026
- Fax
- (510) 835-1062
- NPI assigned
- Nov 1, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Worker | 172V00000X | Primary |
Addresses
Primary practice location
2855 Telegraph Ave
Berkeley, CA 94705-1128
Mailing address
2516 Shane Dr
San Pablo, CA 94806-3125
Phone (443) 534-5627
Other names 1
- Ada Lineth Garcia Sosa
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730419200000",
"number": "1063235703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2516 SHANE DR",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063125",
"telephone_number": "443-534-5627"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2855 TELEGRAPH AVE",
"city": "BERKELEY",
"state": "CA",
"postal_code": "947051128",
"telephone_number": "510-541-1026",
"fax_number": "510-835-1062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSA",
"first_name": "ADA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-01",
"last_updated": "2024-11-01",
"certification_date": "2024-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ADA LINETH",
"last_name": "GARCIA SOSA",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.