Individual provider · Type 1 NPI
Sophia R. Bosket, PA
Medical Physician Assistant · Fresno, CA
NPI number
1114831112
Active
Practice location
2823 Fresno St
Fresno, CA 93721-1324
Mailing address
2625 E Divisadero St
Fresno, CA 93721-1431
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant | 363A00000X | None listed |
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1114831112
Sophia R. Bosket, PA's National Provider Identifier is 1114831112, issued on Sep 29, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Fresno, CA. The record was last updated on Sep 29, 2026.