Organization Active NPI

Sophia Medical Associates, PC

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1295958791
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
SOPHIA MEDICAL ASSOCIATES, PC
Practice address
603 Kenmore Ave
Fredericksburg, VA 22401-5722
Phone
(540) 368-9380
Fax
(540) 368-9382
NPI assigned
Apr 11, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Linda A. Villalobos, M.D.
Title
President
Phone
(540) 368-9380

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

603 Kenmore Ave
Fredericksburg, VA 22401-5722

Mailing address

603 Kenmore Ave
Fredericksburg, VA 22401-5722
Phone (540) 368-9380

National Provider Directory

National Provider Directory

Locations

603 Kenmore Ave
Fredericksburg, VA 22401
Phone (540) 368-9380

NPI Registry JSON

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1295958791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 KENMORE AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015722",
            "telephone_number": "540-368-9380",
            "fax_number": "540-368-9382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 KENMORE AVE",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224015722",
            "telephone_number": "540-368-9380",
            "fax_number": "540-368-9382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOPHIA MEDICAL ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "VILLALOBOS",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "540-368-9380",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.