Individual provider Active NPI

Inessa Sosis, DDS

  • Dentist
  • San Francisco, CA
National Provider Identifier
1275752735
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
45199 Issued in CA
Practice address
3200 Fulton St
San Francisco, CA 94118-3713
Phone
(415) 516-3859
NPI assigned
Apr 24, 2007
Last updated
Sep 21, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 45199 CA Primary

Addresses

Primary practice location

3200 Fulton St
San Francisco, CA 94118-3713

Mailing address

3200 Fulton St
San Francisco, CA 94118-3713
Phone (415) 516-3859

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
45199CAMDPharmacy Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Golden Gate Dental Group Practice of Inessa Sosis DDS Inc Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1275752735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183713",
            "telephone_number": "415-516-3859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 FULTON ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941183713",
            "telephone_number": "415-516-3859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSIS",
        "first_name": "INESSA",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "45199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2012; 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.