Individual provider Active NPI

Sofia Alejandra Andrade

  • Rehabilitation Practitioner
  • Camarillo, CA
National Provider Identifier
1891451100
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Practice address
3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056
Phone
(805) 289-0120
Fax
(805) 289-0130
NPI assigned
Nov 10, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Case Manager/Care Coordinator 171M00000X
Rehabilitation Practitioner 225400000X Primary

Addresses

Primary practice location

3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056

Mailing address

3601 Calle Tecate Ste 201
Camarillo, CA 93012-5056
Phone (805) 289-0120

Other identifiers 1

IdentifierTypeStateIssuer
56CCOtherCAASPIRA

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aspiranet Case Manager/Care Coordinator CurrentSince Mar 20, 2025 Accepting new patients
Aspira Foster & Family Services - Ventura Case Manager/Care Coordinator CurrentSince Jul 1, 2022 Accepting new patients

Locations

3601 Calle Tecate
Ste 201
Camarillo, CA 93012
Phone (805) 289-0130

5284 Adolfo Rd
Ste 100
Camarillo, CA 93012
Phone (805) 289-0130

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1636502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1891451100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 CALLE TECATE STE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125056",
            "telephone_number": "805-289-0120",
            "fax_number": "805-289-0130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CALLE TECATE STE 201",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930125056",
            "telephone_number": "805-289-0120",
            "fax_number": "805-289-0130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRADE",
        "first_name": "SOFIA",
        "middle_name": "ALEJANDRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-10",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASPIRA",
            "identifier": "56CC",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camarillo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.