Jorge Rene Soto, LPT

Primary specialty

Licensed Psychiatric TechnicianTaxonomy code 167G00000X

License

36461 Issued in CA

Practice address

3115 N Millbrook Ave
Fresno, CA 93703-1425

Phone

(559) 600-2382

NPI assigned

Apr 24, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jorge Rene Zavala Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Central Star Behavioral Health, Inc.

  • Community/Behavioral Health Agency
  • Merced, CA
  • NPI 1629574777
  NPD (past)

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

{
    "created_epoch": "1713916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781222400000",
    "number": "1376399063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 W SHAW AVE STE 108",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113229",
            "telephone_number": "559-558-4051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3115 N MILLBROOK AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937031425",
            "telephone_number": "559-600-2382"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1539 McHenry Ave",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953504528",
            "country_code": "US",
            "telephone_number": "559-476-7507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 E 13th St Ste D",
            "address_purpose": "LOCATION",
            "city": "Merced",
            "state": "CA",
            "postal_code": "953416211",
            "country_code": "US",
            "telephone_number": "559-476-7507",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "702 Workman St",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933076800",
            "country_code": "US",
            "telephone_number": "559-476-7507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "JORGE",
        "middle_name": "RENE",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-04-24",
        "last_updated": "2026-06-12",
        "certification_date": "2026-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "167G00000X",
            "taxonomy_group": "",
            "desc": "Licensed Psychiatric Technician",
            "state": "CA",
            "license": "36461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JORGE",
            "last_name": "ZAVALA",
            "middle_name": "RENE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Ernestina G. Soto-Frisby, FNP
• Ashlee Soto
• Franchesca Jasmine Soto
• Gisselle Soto
• Joanna Soto
• Mercedes Soto
• Rosa Soto
• Ruben Soto
• Salome Anne Soto, NP
• Spring Soto

• Licensed Psychiatric Technician in Fresno, CA
• Providers in Fresno, CA by specialty
• Licensed Psychiatric Technician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2026; 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.