Active NPI
Tristan Sterling Sotomayor, APCC
- Mental Health Counselor
- San Diego, CA
National Provider Identifier
1164174892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 10001
- Practice address
- 4435 Dawson Ave
San Diego, CA 92115-4720 - Phone
- (478) 278-5740
- NPI assigned
- Jan 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 10001 | CA | Primary |
Addresses
Primary practice location
4435 Dawson Ave
San Diego, CA 92115-4720
Mailing address
4435 Dawson Ave
San Diego, CA 92115-4720
Phone (478) 278-5740
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | APCC, CANNONT BILL INSURANCE AT THIS TIME |
Other names 1
- Kristen Rebecca Hartley
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.darlenetando.com/clinicians/tristan-sotomayor-apcc/ | Direct |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10001 | CA | MD | Ambulatory Care Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642982400000",
"number": "1164174892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4435 DAWSON AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154720",
"telephone_number": "478-278-5740"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4435 DAWSON AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921154720",
"telephone_number": "478-278-5740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTOMAYOR",
"first_name": "TRISTAN",
"middle_name": "STERLING",
"credential": "APCC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-24",
"last_updated": "2022-01-24",
"certification_date": "2022-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "10001",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.darlenetando.com/clinicians/tristan-sotomayor-apcc/",
"affiliation": "N",
"endpointDescription": "professional website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4435 Dawson Ave",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921154720",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KRISTEN",
"last_name": "HARTLEY",
"middle_name": "REBECCA",
"credential": "APCC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.