Active NPI
Sophia Nicole Conchas
- Rehabilitation Practitioner
- Pasadena, CA
National Provider Identifier
1487317178
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 100 W Walnut St Ste 375
Pasadena, CA 91124-0001 - Phone
- (619) 592-2939
- NPI assigned
- Oct 19, 2021
- Last updated
- Oct 19, 2021
- 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 |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | CA | Primary |
Addresses
Primary practice location
100 W Walnut St Ste 375
Pasadena, CA 91124-0001
Mailing address
100 W Walnut St Ste 375
Pasadena, CA 91124-0001
Phone (619) 592-2939
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": "1634601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634601600000",
"number": "1487317178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 W WALNUT ST STE 375",
"city": "PASADENA",
"state": "CA",
"postal_code": "911240001",
"telephone_number": "619-592-2939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 W WALNUT ST STE 375",
"city": "PASADENA",
"state": "CA",
"postal_code": "911240001",
"telephone_number": "619-592-2939"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CONCHAS",
"first_name": "SOPHIA",
"middle_name": "NICOLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-10-19",
"last_updated": "2021-10-19",
"certification_date": "2021-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pasadena, CA
- Complete Care Community Health Center, Inc (Complete Care Community Health Center - Altadena)
- Comprehensive Dermatology Center of Pasadena, a Medical Group
- Comprehensive Psychiatric Solutions, P.C.
- Comprehensive Wellness Center, Inc.
- Moriah Rose Conant
- Concierge Home Care, Inc.
- Concord Home Health Care
- Carmen S Conde
- Benjamin Eli Cone, MSW, LCSW
- Rebekah Cone
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.