Desirae Sotto

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1510 Fashion Island Blvd Ste 310
San Mateo, CA 94404-1587

Phone

(415) 650-6128

NPI assigned

May 12, 2020

Sex

Female

Sole proprietor

No

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

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

{
    "created_epoch": "1589241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589328000000",
    "number": "1295357374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SONORA AVE",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940805941",
            "telephone_number": "650-745-6717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 FASHION ISLAND BLVD STE 310",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944041587",
            "telephone_number": "415-650-6128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTTO",
        "first_name": "DESIRAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-12",
        "last_updated": "2020-05-13",
        "certification_date": "2020-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Claire Sorenson
• Cecelia Soriano, PPS
• Steven Soriano, PT
• Jimi Sosa
• Allara Soto
• Fnu Soubiya, DDS
• Felicity Sunaya Soueidan
• Jeevarima Soundaranayagam
• Tasha Lynn Souter, MD
• Aubrey A Souza

• Community Health Worker in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; 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.