Individual provider Active NPI

Sofia Kovaleva, LE

  • Specialist
  • San Jose, CA
National Provider Identifier
1881519940
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L10107 Issued in CA
Practice address
1090 Lincoln Ave Ste 9D
San Jose, CA 95125-3156
Phone
(650) 300-9796
NPI assigned
Aug 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X L10107 CA Primary

Addresses

Primary practice location

1090 Lincoln Ave Ste 9D
San Jose, CA 95125-3156

Mailing address

1090 Lincoln Ave Ste 9D
San Jose, CA 95125-3156
Phone (650) 300-9796

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": "1786320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1881519940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1090 LINCOLN AVE STE 9D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253156",
            "telephone_number": "650-300-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1090 LINCOLN AVE STE 9D",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951253156",
            "telephone_number": "650-300-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOVALEVA",
        "first_name": "SOFIA",
        "credential": "LE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-10",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "L10107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.