Individual provider Active NPI

Vanessa Sosa

  • Family Nurse Practitioner
  • Galt, CA
National Provider Identifier
1447847801
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016324 Issued in CA
Practice address
387 Civic Dr
Galt, CA 95632-2059
Phone
(209) 745-8080
NPI assigned
Dec 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016324 CA Primary

Addresses

Primary practice location

387 Civic Dr
Galt, CA 95632-2059

Mailing address

387 Civic Dr
Galt, CA 95632-2059
Phone (209) 745-8080

Other practice location 1

7551 Timberlake Way Ste 230
Sacramento, CA 95823-5422
Phone (916) 347-3630

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210310001825 CA Practitioner - Nurse Practitioner 7517373848 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95016324CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lodi Memorial Hospital Association, Inc Current Accepting new patients
Lodi Memorial Hospital Association Inc CurrentSince Feb 1, 2021 Accepting new patients

Locations

387 Civic Dr
Galt, CA 95632
Phone (209) 745-8080

2415 W Vine St
#150
Lodi, CA 95242

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

2415 W Vine St
Ste 103
Lodi, CA 95242
Phone (209) 333-3030

Interoperability endpoints

  • Direct secure messaging: vsosa595210@hisp.ehr.sutterhealth.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1609286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1447847801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "387 CIVIC DR",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956322059",
            "telephone_number": "209-745-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 CIVIC DR",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956322059",
            "telephone_number": "209-745-8080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7551 Timberlake Way Ste 230",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958235422",
            "country_code": "US",
            "telephone_number": "916-347-3630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOSA",
        "first_name": "VANESSA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-12-30",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galt, CA

Sources for this page

Verify at the official NPI Registry.