Individual provider Active NPI

Juan Roberto Sosa, M.D.

  • Psychiatry Physician
  • Visalia, CA
National Provider Identifier
1104351923
Registry record updated Jul 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A163383 Issued in CA
Practice address
1100 S Akers St
Visalia, CA 93277-8311
Phone
(559) 624-2000
NPI assigned
Apr 30, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A163383 CA Primary

Addresses

Primary practice location

1100 S Akers St
Visalia, CA 93277-8311

Mailing address

7850 White LN Ste E301
Bakersfield, CA 93309-7698
Phone (818) 398-8986

Other practice location 1

301 E 13th St Ste D
Merced, CA 95341-6211
Phone (209) 386-1096

Other practice location 2

496 S Barton Ave
Fresno, CA 93702-2985
Phone (559) 860-4422

Other practice location 3

2416 W Shaw Ave Ste 114
Fresno, CA 93711-3303
Phone (559) 374-3990

Other practice location 4

455 Silicon Valley Blvd
San Jose, CA 95138-1858
Phone (866) 424-1411

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210723001955 CA Practitioner - Psychiatry 4880097161 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Precision Psychiatric Services IncGroup PAC ID 9436491420, 19 clinicians

Practice addresses (Care Compare)

901 Olive Dr
Bakersfield, CA 93308-4137
Phone (661) 215-7500

Hospital & facility affiliations

  • Good Samaritan Hospital, LP Hospital, Bakersfield, CA, CCN 050257
  • Kern Medical Center Hospital, Bakersfield, CA, CCN 050315

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A163383CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Precision Psychiatric Services Inc CurrentSince Jun 20, 2021 Accepting new patients
Infusion and Clinical Services, Inc Psychiatry CurrentSince Nov 1, 2023 Accepting new patients
Infusion and Clinical Services, Inc. Psychiatry CurrentSince Sep 28, 2021 Accepting new patients

Locations

7850 White Ln
Ste E301
Bakersfield, CA 93309

7850 White Ln
#E301
Bakersfield, CA 93309

611 Airport Dr
Bakersfield, CA 93308
Phone (661) 556-4777

5401 White Ln
#A
Bakersfield, CA 93309
Phone (661) 557-4189

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

901 Olive Dr
Bakersfield, CA 93308
Phone (661) 215-7500

4043 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 396-7100

6620 Coyle Ave
Ste 218
Carmichael, CA 95608
Phone (661) 735-8860

455 Silicon Valley Blvd
San Jose, CA 95138
Phone (408) 819-7310

1121 Pacific Ave
Santa Cruz, CA 95060
Phone (800) 688-8124

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1100 S Akers St
Visalia, CA 93277
Phone (559) 509-0846

Organizations & group practices 3

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1493510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1104351923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 WHITE LN STE E301",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933097698",
            "telephone_number": "818-398-8986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S AKERS ST",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932778311",
            "telephone_number": "559-624-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 E 13th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416211",
            "country_code": "US",
            "telephone_number": "209-386-1096",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "496 S Barton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937022985",
            "country_code": "US",
            "telephone_number": "559-860-4422",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2416 W Shaw Ave Ste 114",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937113303",
            "country_code": "US",
            "telephone_number": "559-374-3990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Silicon Valley Blvd",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951381858",
            "country_code": "US",
            "telephone_number": "866-424-1411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSA",
        "first_name": "JUAN",
        "middle_name": "ROBERTO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-30",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A163383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.