Tracy Elizabeth De Soto, MA, MFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

46988 Issued in CA

Practice address

1650 S Amphlett Blvd Ste 201
San Mateo, CA 94402-2529

Phone

(650) 279-2330

NPI assigned

Jul 16, 2007

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

Opted out of Medicare

Yes, effective Jan 1, 2024 through Jan 1, 2028

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336348788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 S AMPHLETT BLVD STE 201",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022529",
            "telephone_number": "650-279-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 S AMPHLETT BLVD STE 201",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944022529",
            "telephone_number": "650-279-2330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "405 Primrose Rd",
            "address_2": "Suite 318",
            "address_purpose": "LOCATION",
            "city": "Burlingame",
            "state": "CA",
            "postal_code": "940104064",
            "country_code": "US",
            "telephone_number": "650-279-2330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DE SOTO",
        "first_name": "TRACY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MA, MFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "46988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea De la Cruz
• Zelda Sarmiento De la Cruz, MD
• Hedwig M De Ocampo
• Carina De Paz
• Anne Catherine Marie De Sauvage, LMFT
• Vitoria De Souza, BSN, RN
• Jalal Ud Dean
• Sabrina Mae Deans, MS, ATC
• Joann Antoinette Deasy, P.A-C
• Paula Isabel Decano

• Marriage & Family Therapist in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.