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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AGNE SOFIA BOLSAKOVA MA
NPI 1790494185
Counselor - Professional in Vista, CA

Active since November 15, 2022PECOS Enrolled
1826 KEY LARGO RD, VISTA, CA 92081(760) 420-8739 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 17, 2026, Nov 15, 2022 (2 updates tracked since 2022).

About Agne Sofia Bolsakova Ma NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AGNE SOFIA BOLSAKOVA MA (NPI 1790494185) is an individual professional provider in Vista, California, licensed in California (18741) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1790494185
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameAGNE SOFIA BOLSAKOVACredential: MA
Location Address1826 KEY LARGO RDVista, CA 92081-7004
Mailing Address1826 Key Largo RdVista, CA 92081-7004 · (760) 420-8739
Phone(760) 420-8739
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateNovember 15, 2022
Last NPPES UpdateJuly 17, 20262 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1790494185 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in CA · 18741
1826 KEY LARGO RD, Vista, CA 92081
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Agne Sofia Bolsakova Ma is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224526199
PECOS Enrollment IDI20251022003364
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Agne Bolsakova's NPI number?

The NPI number for Agne Bolsakova is 1790494185. It was assigned to this individual provider in the NPPES registry on November 15, 2022.

Where is Agne Bolsakova located?

Agne Bolsakova practices at 1826 Key Largo Rd, Vista, CA 92081. The listed phone number is (760) 420-8739.

What is Agne Bolsakova's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

Is Agne Bolsakova enrolled in Medicare?

Yes. Agne Bolsakova is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Agne Bolsakova was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.