Ulices Vazquez Soto

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

305745 Issued in CA

Practice address

227 N El Camino Real Ste 100
Encinitas, CA 92024-5821

Phone

(760) 452-2640

NPI assigned

Mar 12, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

G3 Physical Therapy and Wellness Center PCGroup PAC ID 6204139744, 15 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• G3 Physical Therapy and Wellness Center PC

  • Physical Therapist
  • Solana Beach, CA
  • NPI 1669845798
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1124886288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "227 N EL CAMINO REAL STE 100",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245821",
            "telephone_number": "760-452-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAZQUEZ SOTO",
        "first_name": "ULICES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "305745",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Vanderlip, CCC-MA, SLP
• Nicole Vane, DMD
• Gary Vanetsky, PA-C
• Michael Vangilder, PT
• Sandra Lee Vangilder, PT
• Irene Vecchio, MA, MFT
• Racheal Velazquez, RN
• Natalie Theresa Veldkamp, LMFT
• Colleen Veneri, NP
• Sara Venezia, PHARMD

• Physical Therapist in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.