Individual provider Active NPI

Angela Rita Soto, LMFT

  • Marriage & Family Therapist
  • San Jose, CA
National Provider Identifier
1275870131
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT99685 Issued in CA
Practice address
99 Almaden Blvd Ste 600
San Jose, CA 95113-1605
Phone
(909) 532-9090
NPI assigned
Jan 12, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X
Marriage & Family Therapist 106H00000X LMFT99685 CA Primary

Addresses

Primary practice location

99 Almaden Blvd Ste 600
San Jose, CA 95113-1605

Mailing address

99 Almaden Blvd. Ste 600
San Jose, CA 95113-1605
Phone (909) 532-9090

Other names 1

  • Ms. Angela Rita Carlos Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250703003406 CA Practitioner - Marriage and Family Therapist 2365956182 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LMFT99685CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Medi Psych Services Inc CurrentSince Mar 20, 2025 Accepting new patients
Group Home Support Services Past Accepting new patients

Locations

3400 Inland Empire Blvd
Ste 101
Ontario, CA 91764
Phone (909) 638-2475

15260 Ventura Blvd
Ste 1200
Sherman Oaks, CA 91403
Phone (310) 871-0670

Organizations & group practices 2

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": "1357948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1275870131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 ALMADEN BLVD. STE 600",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131605",
            "telephone_number": "909-532-9090",
            "fax_number": "951-755-8915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 ALMADEN BLVD STE 600",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951131605",
            "telephone_number": "909-532-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "ANGELA",
        "middle_name": "RITA",
        "name_prefix": "Mrs.",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-12",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT99685",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "CARLOS",
            "middle_name": "RITA",
            "prefix": "MS.",
            "credential": "LMFT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.