Active NPI
Bielca Sosa
- Speech-Language Pathologist
- Los Angeles, CA
National Provider Identifier
1538513874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 30409
- Practice address
- 3658 Barham Blvd Apt P217
Los Angeles, CA 90068-1122 - Phone
- (443) 535-3958
- NPI assigned
- Apr 22, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 027162 | NY | |
| Speech-Language Pathologist | 235Z00000X | 30409 | CA | Primary |
Addresses
Primary practice location
3658 Barham Blvd Apt P217
Los Angeles, CA 90068-1122
Mailing address
3658 Barham Blvd
Los Angeles, CA 90068-1149
Other practice location 1
8517 57th Ave
Apt 2
Elmhurst, NY 11373-4835
Phone (443) 535-3958
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30409 | CA | MD | Counselor |
| 027162 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461283200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632268800000",
"number": "1538513874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3658 BARHAM BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3658 BARHAM BLVD APT P217",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900681122",
"telephone_number": "443-535-3958"
}
],
"practiceLocations": [
{
"address_1": "8517 57th Ave",
"address_2": "Apt 2",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "NY",
"postal_code": "113734835",
"country_code": "US",
"telephone_number": "443-535-3958",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOSA",
"first_name": "BIELCA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-22",
"last_updated": "2021-09-22",
"certification_date": "2021-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "NY",
"license": "027162",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "CA",
"license": "30409",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 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.