LUIS RAUL SOSA MD
NPI 1255408001
Family Medicine in Fresno, CA
NPI Status: Active since November 29, 2006
Contact Information
4770 W HERNDON AVE
FRESNO, CA
ZIP 93722
Phone: (559) 271-6365
Fax: (559) 271-6365
- Individual
- Male
- Family Medicine
- Accepts Insurance
About LUIS SOSA
This page provides the complete NPI Profile along with additional information for Luis Sosa, a primary care provider established in Fresno, California with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1255408001 assigned on November 2006. The practitioner's primary taxonomy code is 207Q00000X with license number A88028 (CA). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1255408001
- Provider Name
- LUIS RAUL SOSA MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4770 W HERNDON AVE FRESNO, CA 93722
- Location Phone
- (559) 271-6365
- Location Fax
- (559) 271-6365
- Mailing Address
- 4770 W HERNDON AVE FRESNO, CA 93722
- Mailing Phone
- (559) 271-6365
- Mailing Fax
- (559) 271-6365
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-29-2006
- Last Update Date
- 12-27-2007
- Code Navigator
A primary care provider (PCP) like Luis Sosa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- A88028
- License State
- CA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00429023 | OTHER (01) | CA | MEDICARE RR |
| H58800 | MEDICARE UPIN (02) | ||
| 00A880280 | MEDICARE PIN (08) | CA |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 5 | 5 | 4 | 0 | 8 | 0 | 0 | 1 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 10 | 5 | 8 | 0 | 16 | 0 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 1 + 0 + 5 + 8 + 0 + 1 + 6 + 0 + 0 + 24 = 49 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 49 = 1 | 1 | ||||||||
The NPI number 1255408001 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1013983113 | NORTHWEST PHYSICIANS MEDICAL GROUP Organization | Legal Medicine | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1407801046 | MR. CECIL H BULLARD MD Individual | Internal Medicine | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1275573743 | MR. JOHN E LATTIN MD Individual | Pediatrics | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1083655443 | MR. ROMAN B MALLEY MD Individual | Internal Medicine | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1063453827 | MR. MARTIN T WENTHE MD Individual | Family Medicine | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1528001815 | MR. WILLIAM B HOLMES M.D. Individual | Internal Medicine | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1316980618 | MS. NIKKI A DONALDSON DO Individual | Family Medicine | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1992723381 | MATTHEW LOZANO MD Individual | Family Medicine | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6300 |
| 1699889766 | MS. VIVIAN HERNANDEZ MD Individual | Pediatrics | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1134329501 | MS. SHELLY A KRUSE M.D. Individual | Internal Medicine | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1487601480 | MR. KEVIN H NGUYEN MD Individual | Family Medicine | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1609954429 | DR. EVELYN B. MADDELA MD Individual | Pediatrics | 4770 W HERNDON AVE 108 FRESNO, CA 93722 (559) 256-7990 |
| 1962573063 | KAMMI YAP SAYASENG NP Individual | Nurse Practitioner (Pediatrics) | 4770 W HERNDON AVE SUITE 108 FRESNO, CA 93722 (559) 256-7990 |
| 1134323439 | MRS. EVELYN LUZ ROLDAN FNP Individual | Nurse Practitioner (Family) | 4770 W HERNDON AVE FRESNO, CA 93722 (559) 271-6365 |
| 1083788541 | BETSY ANN HILL PNP Individual | Nurse Practitioner (Pediatrics) | 4770 W HERNDON AVE SUITE 108 FRESNO, CA 93722 (559) 256-7990 |
| 1013037993 | DR. MARY A GONZALEZ-HOWARD M.D. Individual | Pediatrics | 4770 W HERNDON AVE SUITE 108 FRESNO, CA 93722 (559) 256-7990 |
| 1780620708 | DR. STEPHEN SOLDO MD Individual | Emergency Medicine | 4770 W HERNDON AVE SUITE 111 FRESNO, CA 93722 (559) 450-2273 |
| 1255741567 | UZOMA CHUKWU M.D. Individual | Internal Medicine | 4770 W HERNDON AVE SUITE 107 FRESNO, CA 93722 (559) 450-6310 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255408001, enumerated in the NPI registry as an "individual" on November 29, 2006
The provider is located at 4770 W Herndon Ave Fresno, Ca 93722 and the phone number is (559) 271-6365
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on November 29, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.