Elizabeth Manzo Sotomil

Primary specialty

DentistTaxonomy code 122300000X

License

60119 Issued in CA

Practice address

3400 Coffee Rd Apt 346
Modesto, CA 95355-1580

Phone

(323) 889-9303

NPI assigned

Mar 9, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• NA NA NA Professional name

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: esotomil@direct.westerndental.com

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.

• Elizabeth Sotomil DDS, Inc

  • Dental Clinic/Center
  • Modesto, CA
  • NPI 1184185753
  NPD Authorized official

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

{
    "created_epoch": "1299628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1154629566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 COFFEE RD APT 346",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551580",
            "telephone_number": "323-889-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 COFFEE RD APT 346",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953551580",
            "telephone_number": "323-889-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTOMIL",
        "first_name": "ELIZABETH",
        "middle_name": "MANZO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-09",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "60119",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "60119",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NA",
            "last_name": "NA",
            "middle_name": "NA",
            "credential": "DDS",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lucy Soto
• Marco A Soto
• Susan Marie Soto, MD
• Vanessa Soto, BACHELORS
• Gabrielle Antoinette Guy Sotomayor
• Theppharack Ad Sounthala, MSW
• Keith Sours
• Brianna Marie Sousa
• Gabriel Sousa, PA
• Makena Sousa

• Dentist in Modesto, CA
• Providers in Modesto, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.