Active NPI
Andrea Alejandra Sosa, D.D.S
- General Practice Dentistry
- Elk Grove, CA
National Provider Identifier
1255633392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 59858
- Practice address
- 8835 Sheldon Rd
Suite 140
Elk Grove, CA 95624-5046 - Phone
- (916) 681-8835
- NPI assigned
- Nov 23, 2010
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 59858 | CA | Primary |
Addresses
Primary practice location
8835 Sheldon Rd
Suite 140
Elk Grove, CA 95624-5046
Mailing address
5055 Business Center Dr
Suite 108 PMB 120
Fairfield, CA 94534-1643
Phone (916) 681-8835
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 |
|---|---|---|---|
| 59858 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1290470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472515200000",
"number": "1255633392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5055 BUSINESS CENTER DR",
"address_2": "SUITE 108 PMB 120",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945341643",
"telephone_number": "916-681-8835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8835 SHELDON RD",
"address_2": "SUITE 140",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "956245046",
"telephone_number": "916-681-8835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSA",
"first_name": "ANDREA",
"middle_name": "ALEJANDRA",
"name_prefix": "Dr.",
"credential": "D.D.S",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-23",
"last_updated": "2016-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "59858",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.