Individual provider Active NPI

Victoria C. Soto Martinez, PA-C

  • Physician Assistant
  • Schertz, TX
National Provider Identifier
1225547664
Registry record updated Oct 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA11460 Issued in TX
Practice address
6051 FM 3009 Ste 210
Schertz, TX 78154-3473
Phone
(210) 299-7770
NPI assigned
Sep 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA11460 TX Primary

Addresses

Primary practice location

6051 FM 3009 Ste 210
Schertz, TX 78154-3473

Mailing address

6051 FM 3009 Ste 210
Schertz, TX 78154-3473
Phone (210) 299-7770

Other practice location 1

150 E Sonterra Blvd Ste 310
San Antonio, TX 78258-4311
Phone (210) 299-7770

Other names 1

  • Victoria C Soto-Martinez Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171226000153 TX Practitioner - Physician Assistant 2466710348 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Manuel Ybarra MD PLLCGroup PAC ID 0648699546, 6 clinicians

Practice addresses (Care Compare)

6051 FM
3009 Suite 210
Schertz, TX 78154-3473
Phone (210) 299-7770

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA11460TXMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: victoria.soto.martinez.1@25051.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1506556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728000000000",
    "number": "1225547664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6051 FM 3009 STE 210",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543473",
            "telephone_number": "210-299-7770",
            "fax_number": "833-502-1747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6051 FM 3009 STE 210",
            "city": "SCHERTZ",
            "state": "TX",
            "postal_code": "781543473",
            "telephone_number": "210-299-7770"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 E Sonterra Blvd Ste 310",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782584311",
            "country_code": "US",
            "telephone_number": "210-299-7770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO MARTINEZ",
        "first_name": "VICTORIA",
        "middle_name": "C.",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-09-28",
        "last_updated": "2024-10-04",
        "certification_date": "2024-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA11460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "SOTO-MARTINEZ",
            "middle_name": "C",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Schertz, TX

Sources for this page

Verify at the official NPI Registry.