Raquel Soto Tejeda, B.A., M.A.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

129166 Issued in CA

Practice address

658 E Brier Dr Ste 200
San Bernardino, CA 92408-2847

Phone

(909) 501-0700

Fax

(909) 387-7611

NPI assigned

Jan 26, 2017

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Bachelor of Arts, Master of Arts

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.

• County of San Bernardino

  • Adolescent and Children Mental Health Clinic/Center
  • San Bernardino, CA
  • NPI 1043415037
  NPD
• Center for Behavioral Sciences, Inc.

  • Behavior Analyst
  • Irvine, CA
  • NPI 1508250556
  NPD (past)
• County of San Bernardino

  • Adult Mental Health Clinic/Center
  • San Bernardino, CA
  • NPI 1598328072
  NPD (past)
• County of San Bernardino

  • Adult Mental Health Clinic/Center
  • San Bernardino, CA
  • NPI 1821601063
  NPD (past)

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

{
    "created_epoch": "1485388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710115200000",
    "number": "1164969259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "658 E BRIER DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082847",
            "telephone_number": "909-501-0700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "658 E BRIER DR STE 200",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082847",
            "telephone_number": "909-501-0700",
            "fax_number": "909-387-7611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJEDA",
        "first_name": "RAQUEL",
        "middle_name": "SOTO",
        "name_prefix": "Ms.",
        "credential": "B.A., M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-26",
        "last_updated": "2024-03-11",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "129166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sylvia Grace Taylor, MFT
• Theresa Cherisse Taylor, PHARMD
• Team Nurses Home Health Services, Inc.
• Megan Tebben, BASW
• Iris Anabell Tejada Fuentes
• Tel Medical Supply
• Telecare Corporation
• Telecare Corporation
• Telecare Corporation
• Telecare Corporation

• All providers in San Bernardino, CA
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.