Individual provider Active NPI

Grace Helene Sotelo, MD

  • Urology Physician
  • Encinitas, CA
National Provider Identifier
1053938035
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A203458 Issued in CA
Practice address
320 Santa Fe Dr Ste 108
Encinitas, CA 92024-5141
Phone
(760) 436-4558
NPI assigned
Jun 25, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 125.075503 IL
Urology Physician 208800000X A203458 CA Primary

Addresses

Primary practice location

320 Santa Fe Dr Ste 108
Encinitas, CA 92024-5141

Mailing address

21250 Hawthorne Blvd Ste 600
Torrance, CA 90503-5519
Phone (760) 436-4558

Other practice location 1

9850 Genesee Ave Ste 440
LA Jolla, CA 92037-1212
Phone (858) 453-5944

Other practice location 2

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-0600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250908000973 CA Practitioner - Urology 4082024575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Loyola University of Chicago, Stritch School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Genesis Healthcare Partners PCGroup PAC ID 2163606807, 232 clinicians

Practice addresses (Care Compare)

9850 Genesee Ave
Suite 440
La Jolla, CA 92037-1212
Phone (858) 453-5944

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A203458CAMDUrology Physician
125.075503ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Healthcare Partners PC Urology CurrentSince Sep 15, 2025 Accepting new patients
Dignity Health Past Accepting new patients

Locations

320 Santa Fe Dr
Ste 108
Encinitas, CA 92024
Phone (760) 436-4558

9850 Genesee Ave
Ste 440
La Jolla, CA 92037
Phone (858) 453-5944

21250 Hawthorne Blvd
Ste 600
Torrance, CA 90503
Phone (650) 756-5000

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: grace.sotelo.1@3663.direct.athenahealth.com

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1053938035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21250 HAWTHORNE BLVD STE 600",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905035519",
            "telephone_number": "760-436-4558"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 SANTA FE DR STE 108",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245141",
            "telephone_number": "760-436-4558"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 Genesee Ave Ste 440",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371212",
            "country_code": "US",
            "telephone_number": "858-453-5944",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123714",
            "country_code": "US",
            "telephone_number": "312-864-0600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "GRACE",
        "middle_name": "HELENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-25",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125.075503",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A203458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.