Active NPI
Marilyn Maxine Sosna, M.D.
- Psychiatry Physician
- Tustin, CA
National Provider Identifier
1780637033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- A26143
- Practice address
- 2472 Chambers Rd
Suite 200
Tustin, CA 92780-6979 - Phone
- (714) 505-1500
- Fax
- (714) 505-1780
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | A26143 | CA | |
| Psychiatry Physician | 2084P0800X | A26143 | CA | Primary |
Addresses
Primary practice location
2472 Chambers Rd
Suite 200
Tustin, CA 92780-6979
Mailing address
2472 Chambers Rd
Suite 200
Tustin, CA 92780-6979
Phone (714) 505-1500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A26143 | Other | CA | STATE LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 1, 2013 through Jan 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1780637033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2472 CHAMBERS RD",
"address_2": "SUITE 200",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806979",
"telephone_number": "714-505-1500",
"fax_number": "714-505-1780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2472 CHAMBERS RD",
"address_2": "SUITE 200",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927806979",
"telephone_number": "714-505-1500",
"fax_number": "714-505-1780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOSNA",
"first_name": "MARILYN",
"middle_name": "MAXINE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-18",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "A26143",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "A26143",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "A26143",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
- Mary Susanna Soliman, LCSW
- Isaac Solis
- Sonisk Pain Management Inc
- Soo Health Care, Inc.
- Sara Sorouri, MSW, MPA
- Adriana Soto Mondragon-Hill, LMFT
- Kimberly Soto
- South Coast Dermatology Institute, a Medical Corporation
- Southern California Acute Care Physicians
- Southern California Psychiatric Associates
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.