Individual provider Active NPI

David James Sosa

  • Physician Assistant
  • Evans, CO
National Provider Identifier
1306544523
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA0008146 Issued in CO
Practice address
2930 11TH Ave
Evans, CO 80620-1011
Phone
(324) 340-7246
Fax
(970) 353-5884
NPI assigned
Feb 16, 2023
Last updated
May 21, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA19222 TX
Physician Assistant 363A00000X PA0008146 CO Primary

Addresses

Primary practice location

2930 11TH Ave
Evans, CO 80620-1011

Mailing address

5200 Briarwood Ave Apt 15104
Midland, TX 79707-2789

Other identifiers 1

IdentifierTypeStateIssuer
PA19222OtherTXTEXAS PA LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, TX2 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
I20231014000017 CO Practitioner - Physician Assistant 3870948664
I20251027003151 TX Practitioner - Physician Assistant 3870948664 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Texas Tech University Health Science Center School of Medicine, 2023
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2901 Montopolis Dr
Austin, TX 78741-6411
Phone (512) 978-9955

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA0008146COMDPhysician Assistant
PA19222TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Central Texas Community Health Centers Family Medicine CurrentSince Aug 16, 2025 Accepting new patients
Central Texas Community Health Centers CurrentSince Aug 16, 2025 Accepting new patients
Sunrise Community Health CurrentSince Nov 13, 2023 Accepting new patients
Sunrise Community Health CurrentSince Nov 13, 2023 Accepting new patients

Locations

2930 11th Ave
Evans, CO 80620
Phone (970) 350-4606

1010 A St
Greeley, CO 80631
Phone (970) 313-0400

302 3rd St SE
Ste 150
Loveland, CO 80537
Phone (970) 669-4855

1210 W Braker Ln
Austin, TX 78758
Phone (512) 978-9300

301 W State Highway 71
Ste 111
Bastrop, TX 78602
Phone (512) 304-0318

Organizations & group practices 4

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": "1676505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1306544523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5200 BRIARWOOD AVE APT 15104",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797072789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2930 11TH AVE",
            "city": "EVANS",
            "state": "CO",
            "postal_code": "806201011",
            "telephone_number": "324-340-7246",
            "fax_number": "970-353-5884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "DAVID",
        "middle_name": "JAMES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-02-16",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA19222",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA0008146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS PA LICENSE NUMBER",
            "identifier": "PA19222",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, CO

Sources for this page

Verify at the official NPI Registry.