Active NPI
Priscilla Esther Sosa
- Marriage & Family Therapist
- Chino, CA
National Provider Identifier
1063761666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 122830
- Practice address
- 12970 3Rd St
Chino, CA 91710-3464 - Phone
- (909) 536-5749
- NPI assigned
- Aug 29, 2012
- Last updated
- Oct 3, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Marriage & Family Therapist | 106H00000X | 122830 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
12970 3Rd St
Chino, CA 91710-3464
Mailing address
6317 Cattleman Dr
Eastvale, CA 92880-8542
Phone (951) 532-1927
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
| License | State | Type | Specialty |
|---|---|---|---|
| 122830 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1063761666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6317 CATTLEMAN DR",
"city": "EASTVALE",
"state": "CA",
"postal_code": "928808542",
"telephone_number": "951-532-1927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12970 3RD ST",
"city": "CHINO",
"state": "CA",
"postal_code": "917103464",
"telephone_number": "909-536-5749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSA",
"first_name": "PRISCILLA",
"middle_name": "ESTHER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-29",
"last_updated": "2024-10-03",
"certification_date": "2024-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "122830",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chino, CA
- Claudia Elizabeth Somoano, LMFT
- David Song
- Su Yong Song, L.AC
- Soo Youn Kim OD Inc (Fashion Eyes Optometry)
- Christa Soryal, DDS
- Sotara Manalo Rico Professional Medical Corporation
- South Coast Children's Society, Inc (Hope Healing Connection)
- South Coast Children's Society, Inc. (South Coast Community Services)
- Southern California Injury Treatment Center
- Southern California Injury Treatment Center, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 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.