Active NPI
Sophia I. De la Fuente
- Student in an Organized Health Care Education/Training Program
- San Leandro, CA
National Provider Identifier
1487051967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2208 San Leandro Blvd.
Family Service Counseling Center
San Leandro, CA 94577 - Phone
- (510) 483-6715
- NPI assigned
- Nov 26, 2014
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
2208 San Leandro Blvd.
Family Service Counseling Center
San Leandro, CA 94577
Mailing address
2208 San Leandro Blvd.
Family Service Counseling Center
San Leandro, CA 94577
Phone (510) 483-6715
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416960000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416960000000",
"number": "1487051967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2208 SAN LEANDRO BLVD.",
"address_2": "FAMILY SERVICE COUNSELING CENTER",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94577",
"telephone_number": "510-483-6715",
"fax_number": "510-483-6715"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2208 SAN LEANDRO BLVD.",
"address_2": "FAMILY SERVICE COUNSELING CENTER",
"city": "SAN LEANDRO",
"state": "CA",
"postal_code": "94577",
"telephone_number": "510-483-6715"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LA FUENTE",
"first_name": "SOPHIA",
"middle_name": "I.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-26",
"last_updated": "2014-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Leandro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.