Active NPI
Sara Margarida Sousa, NURSE PRACTITIONER
- Family Nurse Practitioner
- Chula Vista, CA
National Provider Identifier
1629251269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 17053
- Practice address
- 855 3Rd Ave Ste 4400
Chula Vista, CA 91911-1350 - Phone
- (619) 240-8242
- NPI assigned
- Dec 5, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AC000682 | MD | |
| Family Nurse Practitioner | 363LF0000X | 17053 | CA | Primary |
Addresses
Primary practice location
855 3Rd Ave Ste 4400
Chula Vista, CA 91911-1350
Mailing address
PO Box 64131
Baltimore, MD 21264-4131
Phone (443) 481-6480
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17053 | CA | MD | Professional Counselor |
| AC000682 | MD | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shane Seibert, D.C. a Professional Chiropractic Corporation | Current | Accepting new patients | |
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Annapolis Endocrinology Associates LLC | Past | Accepting new patients |
Locations
1382 E Alluvial Ave
Ste 106
Fresno, CA 93720
Phone (559) 432-9700
Interoperability endpoints
- sara.sousacrnp.p3@direct.cvr.nextgenshare.com
Organizations & group practices 3
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.
-
- Chiropractor
- Fresno, CA
- NPI 1780960146
-
- Endocrinology, Diabetes & Metabolism Physician
- Annapolis, MD
- NPI 1558331074
-
dba Rex Nutrition Services
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1196812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670976000000",
"number": "1629251269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64131",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212644131",
"telephone_number": "443-481-6480",
"fax_number": "443-481-6515"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 3RD AVE STE 4400",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919111350",
"telephone_number": "619-240-8242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOUSA",
"first_name": "SARA",
"middle_name": "MARGARIDA",
"name_prefix": "Mrs.",
"credential": "NURSE PRACTITIONER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-12-05",
"last_updated": "2022-12-14",
"certification_date": "2022-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC000682",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "17053",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.