Individual provider Active NPI

Carolina Sosa

  • Family Nurse Practitioner
  • North Hollywood, CA
National Provider Identifier
1568970267
Registry record updated Jan 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95007455 Issued in CA
Practice address
6801 Coldwater Canyon Ave
North Hollywood, CA 91605-5162
Phone
(818) 763-8836
NPI assigned
Jan 16, 2018
Last updated
Jan 16, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2018

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 95007455 CA Primary

Addresses

Primary practice location

6801 Coldwater Canyon Ave
North Hollywood, CA 91605-5162

Mailing address

14265 Dearborn St
Panorama City, CA 91402-1917

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
I20180320003030 CA Practitioner - Nurse Practitioner 8224390778 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11333 Sepulveda Blvd
Mission Hills, CA 91345-1116
Phone (818) 365-9531

19950 Rinaldi St
Porter Ranch, CA 91326-4141
Phone (818) 403-2400

26357 McBean Pkwy
Valencia, CA 91355-4488
Phone (661) 222-2600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95007455CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Community Healthcare Single Specialty CurrentSince Feb 10, 2018 Accepting new patients
Healthcare Partners Affiliates Medical Group Single Specialty CurrentSince Sep 27, 2021 Accepting new patients
Providence Facey Medical Foundation Single Specialty CurrentSince Oct 7, 2024 Accepting new patients
Healthcare Partners Affiliates Medical Group CurrentSince Sep 27, 2021 Accepting new patients
Providence Facey Medical Foundation CurrentSince Oct 7, 2024 Accepting new patients
Valley Community Healthcare CurrentSince Feb 10, 2018 Accepting new patients

Locations

1236 N Magnolia Ave
Anaheim, CA 92801
Phone (714) 995-1000

5957 W Ramsey St
Banning, CA 92220
Phone (951) 845-8864

824 E Carson St
Ste 104
Carson, CA 90745
Phone (310) 830-9706

File 50670
Los Angeles, CA 90074

11333 Sepulveda Blvd
Mission Hills, CA 91345
Phone (818) 365-9531

11333 Sepulveda Blvd
Fl 2
Mission Hills, CA 91345
Phone (818) 869-7263

6801 Coldwater Canyon Ave
North Hollywood, CA 91605
Phone (818) 301-6307

18460 Roscoe Blvd
Northridge, CA 91325
Phone (818) 734-3600

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

1700 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 883-8611

26357 McBean Pkwy
Valencia, CA 91355
Phone (661) 222-2600

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1516060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516060800000",
    "number": "1568970267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14265 DEARBORN ST",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6801 COLDWATER CANYON AVE",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916055162",
            "telephone_number": "818-763-8836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOSA",
        "first_name": "CAROLINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-16",
        "last_updated": "2018-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95007455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Hollywood, CA

Sources for this page

Verify at the official NPI Registry.