Individual provider Active NPI

Basilios Sotiropulos

  • Marriage & Family Therapist
  • Pleasant Hill, CA
National Provider Identifier
1245778240
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
123828 Issued in CA
Practice address
3478 Buskirk Ave
Suite 260
Pleasant Hill, CA 94523-4344
Phone
(925) 943-1794
Fax
(925) 943-6091
NPI assigned
Feb 9, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Marriage & Family Therapist 106H00000X 123828 CA Primary

Addresses

Primary practice location

3478 Buskirk Ave
Suite 260
Pleasant Hill, CA 94523-4344

Mailing address

3478 Buskirk Ave
Suite 260
Pleasant Hill, CA 94523-4344

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
123828CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1245778240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3478 BUSKIRK AVE",
            "address_2": "SUITE 260",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3478 BUSKIRK AVE",
            "address_2": "SUITE 260",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234344",
            "telephone_number": "925-943-1794",
            "fax_number": "925-943-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTIROPULOS",
        "first_name": "BASILIOS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-02-09",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "123828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2021; 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.