Individual provider Active NPI

Silvia Ochoa-Sosa

  • Physician Assistant
  • Salem, OR
National Provider Identifier
1114220605
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA153383 Issued in OR
Practice address
1160 Wallace Rd NW
Salem, OR 97304-3116
Phone
(503) 813-3810
Fax
(503) 588-7578
NPI assigned
Dec 6, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X PA153383 OR
Physician Assistant 363A00000X PA153383 OR Primary
Medical Physician Assistant 363AM0700X PA153383 OR

Addresses

Primary practice location

1160 Wallace Rd NW
Salem, OR 97304-3116

Mailing address

1160 Wallace Rd NW
Salem, OR 97304-3116

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110322000532 OR Practitioner - Physician Assistant 0446439210 Reassigns benefits to 2 organizations
I20220726003521 WA Practitioner - Physician Assistant 0446439210 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1160 Wallace Rd NW
Salem, OR 97304-3116
Phone (800) 813-2000

2400 Lancaster Dr NE
Salem, OR 97305-1221
Phone (800) 813-2000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA153383ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Jan 10, 2022 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jan 1, 2011 Accepting new patients
Yakima Valley Farm Workers Clinic CurrentSince Jan 1, 2011 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 10, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Family Medicine CurrentSince Mar 8, 2022 Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

589 NW 11th St
Hermiston, OR 97838
Phone (503) 567-1717

8935 SE Powell Blvd
Portland, OR 97266
Phone (503) 349-7864

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

3896 Beverly Ave NE
Ste 40
Salem, OR 97305
Phone (503) 588-0076

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1160 Wallace Rd NW
Salem, OR 97304
Phone (503) 331-3060

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Interoperability endpoints

  • Direct secure messaging: sochoasosa4888@yvfwc.direct-ci.com

Organizations & group practices 5

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": "1291593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640908800000",
    "number": "1114220605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 WALLACE RD NW",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973043116",
            "telephone_number": "503-813-3810",
            "fax_number": "503-588-7578"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OCHOA-SOSA",
        "first_name": "SILVIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-06",
        "last_updated": "2021-12-31",
        "certification_date": "2021-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "PA153383",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OR",
            "license": "PA153383",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "PA153383",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/interconnect-prodnwm/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
            "affiliation": "N",
            "endpointDescription": "Carequality",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "1160 Wallace Rd NW",
            "city": "Salem",
            "state": "OR",
            "country_code": "US",
            "postal_code": "973043116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salem, OR

Sources for this page

Verify at the official NPI Registry.