Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Sophia Bilbao

Individual provider Physician Assistant · NPI 1851017305

Sophia Bilbao is a Physician Assistant in Costa Mesa, California. Qualified in 2022, 4 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
4
Licensed in
CA
In the registry since
2022
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Practice location Address checks out

3400 Avenue Of The Arts Apt C216
Costa Mesa, CA 92626-7142
Phone: (510) 590-6198
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 62300 (CA)

Record details

NPI number1851017305
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 17, 2022
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024
Mailing address3400 Avenue Of The Arts Apt C216, Costa Mesa, CA 92626-7142

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Costa Mesa