Active NPI
Jenniffer Rojas Soto, DMD
- Orthodontics and Dentofacial Orthopedics Dentistry
- Los Angeles, CA
National Provider Identifier
1164692836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthodontics and Dentofacial Orthopedics Dentistry
- License
- 55515
- Practice address
- 4242 Beverly Blvd
Los Angeles, CA 90004-4430 - Phone
- (213) 531-0194
- NPI assigned
- Mar 9, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthodontics and Dentofacial Orthopedics Dentistry | 1223X0400X | 55515 | CA | Primary |
Addresses
Primary practice location
4242 Beverly Blvd
Los Angeles, CA 90004-4430
Mailing address
608 Garfield Ave
South Pasadena, CA 91030-2213
Phone (323) 787-7224
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 |
|---|---|---|---|
| 55515 | CA | MD | Physician Assistant |
Interoperability endpoints
- jrojas@direct.westerndental.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1205020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772496000000",
"number": "1164692836",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "608 GARFIELD AVE",
"city": "SOUTH PASADENA",
"state": "CA",
"postal_code": "910302213",
"telephone_number": "323-787-7224"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4242 BEVERLY BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900044430",
"telephone_number": "213-531-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROJAS SOTO",
"first_name": "JENNIFFER",
"name_prefix": "Dr.",
"credential": "DMD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-09",
"last_updated": "2026-03-03",
"certification_date": "2026-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "1223X0400X",
"taxonomy_group": "",
"desc": "Dentist, Orthodontics and Dentofacial Orthopedics",
"state": "CA",
"license": "55515",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.