Active NPI
Carolyn Soto
- Social Worker
- Inglewood, CA
National Provider Identifier
1104109172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 323 N. Prairie Avenue
Inglewood, CA 90301 - Phone
- (310) 846-2100
- Fax
- (310) 846-2139
- NPI assigned
- Sep 26, 2011
- Last updated
- Jul 21, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | |||
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
323 N. Prairie Avenue
Inglewood, CA 90301
Mailing address
4760 S. Sepulveda Blvd
Culver City, CA 90230
Phone (310) 390-6612
Other practice location 1
5425 Pomona Blvd
Los Angeles, CA 90022-1716
Phone (323) 728-0411 ext. 105
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1104109172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4760 S. SEPULVEDA BLVD",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "90230",
"telephone_number": "310-390-6612",
"fax_number": "310-398-5690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "323 N. PRAIRIE AVENUE",
"city": "INGLEWOOD",
"state": "CA",
"postal_code": "90301",
"telephone_number": "310-846-2100",
"fax_number": "310-846-2139"
}
],
"practiceLocations": [
{
"address_1": "5425 Pomona Blvd",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900221716",
"country_code": "US",
"telephone_number": "323-728-0411 x105",
"fax_number": "323-832-7599",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTO",
"first_name": "CAROLYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-09-26",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Inglewood, CA
- Sang Ho Son, DPT
- Sai Venkatesh Sonti, MD
- Ana Karen Soria
- Soteria Behavioral Health
- Soteria Home Health Agency, Inc.
- Victoria Lynn Soto
- Soul Care Licensed Clinical Social Worker Inc. (Soul Care for Black Clinicians)
- Mehran Sourehnissani, M.D.
- South Bay Family Healthcare Center
- South Bay Wellness Center
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.