Individual provider Active NPI

David Rodolfo Soto, MD

  • Vascular & Interventional Radiology Physician
  • Hayward, CA
National Provider Identifier
1386885382
Registry record updated Sep 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
A107805 Issued in CA
Practice address
22268 Foothill Blvd Ste 3
Hayward, CA 94541-2723
Phone
(917) 405-8859
NPI assigned
Mar 20, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MT189562 PA
Vascular & Interventional Radiology Physician 2085R0204X MT189562 PA
Vascular & Interventional Radiology Physician 2085R0204X A107805 CA Primary
Diagnostic Radiology Physician 2085R0202X A107805 CA

Addresses

Primary practice location

22268 Foothill Blvd Ste 3
Hayward, CA 94541-2723

Mailing address

PO Box 21109
Castro Valley, CA 94546-9109
Phone (917) 405-8859

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: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100928000112 CA Practitioner - Interventional Radiology 2264558246 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pinnacle SjirGroup PAC ID 9638500374, 3 clinicians

Practice addresses (Care Compare)

145 Trevino Ave
Manteca, CA 95337-4200
Phone (209) 788-8180

22268 Foothill Blvd
Suite 3
Hayward, CA 94541-2723
Phone (510) 975-0347

2333 Mowry Ave
Suite 300
Fremont, CA 94538-1626
Phone (510) 796-0222

310 Mercy Ave
Suite B
Merced, CA 95340-8319
Phone (209) 395-2732

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.14 of 100Reported as individual
Quality
90
Improvement activities
0
Cost
53.79

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal13
Leg revascularization (restoring blood flow)146

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
107805CAMDMarriage & Family Therapist
MT189562PAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Summit Medical Corporation CurrentSince Oct 1, 2015 Accepting new patients
West Bay Nephrology Associates CurrentSince Mar 23, 2020 Accepting new patients
West Coast Medicine and Cardiology Inc CurrentSince Jan 1, 2021 Accepting new patients
California Cardiovascular Consultants Medical Associates CurrentSince May 1, 2025 Accepting new patients
Ams Mobile Health Diagnostics CurrentSince Sep 26, 2023 Accepting new patients
Prospero Vascular and Interventional PC Vascular & Interventional Radiology CurrentSince Oct 28, 2022 Accepting new patients
Central Valley Imaging Medical Associates, Inc Diagnostic Radiology CurrentSince Feb 3, 2025 Accepting new patients
Riverwalk Medical Corporation Current Accepting new patients
Kirk a Churukian M D P S C CurrentSince Sep 22, 2022 Accepting new patients
Advanced Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Jan 31, 2025 Accepting new patients
Pinnacle Sjir Diagnostic Radiology CurrentSince Feb 26, 2020 Accepting new patients
California Cardiovascular Consultants CurrentSince May 1, 2025 Accepting new patients
Advanced Interventional Surgical Center CurrentSince May 1, 2025 Accepting new patients
Naadi Manteca ASC Vascular & Interventional Radiology CurrentSince Jan 1, 2023 Accepting new patients
West Coast Veins and Vascular Inc CurrentSince Jan 1, 2022 Accepting new patients
West Coast Kidney CurrentSince Jun 13, 2024 Accepting new patients
New York City Healthcare Medical Services LLC CurrentSince Jul 7, 2026 Accepting new patients
San Mateo Dialysis Associates CurrentSince Dec 23, 2023 Accepting new patients
Oak Hills Medical Corporation CurrentSince Oct 1, 2015 Accepting new patients
Advanced Interventional Surgical Center CurrentSince May 1, 2025 Accepting new patients
Merced VC CurrentSince Apr 2, 2024 Accepting new patients
Vip Surgicare, LLC CurrentSince Sep 22, 2022 Accepting new patients
Riverwalk Medical Corporation Vascular & Interventional Radiology CurrentSince Oct 1, 2015 Accepting new patients
Rajesh S Suri Past Accepting new patients
Vascular Anesthesia Associates PLLC PastSince Mar 3, 2019 Accepting new patients
Port City Operating Company, LLC Past Accepting new patients
Good Samaritan Hospital, L.P. Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations (25 of 53)

2370 Country Hills Dr
Ste 101
Antioch, CA 94509
Phone (925) 779-9635

5020 Commerce Dr
#C
Bakersfield, CA 93309

5020 Commerce Dr
Bakersfield, CA 93309

1750 El Camino Real
Ste 15
Burlingame, CA 94010
Phone (650) 570-2273

1860 El Camino Real
Ste 321
Burlingame, CA 94010
Phone (650) 552-8180

1860 El Camino Real
Ste 310
Burlingame, CA 94010
Phone (650) 697-1717

1498 Southgate Ave
#102
Daly City, CA 94015
Phone (650) 755-4490

1900 Sullivan Ave
Daly City, CA 94015
Phone (650) 991-6503

2675 Stevenson Blvd
Fl 2
Fremont, CA 94538
Phone (510) 791-5200

3155 Kearney St
Ste 100
Fremont, CA 94538
Phone (669) 235-4188

2333 Mowry Ave
Ste 300
Fremont, CA 94538
Phone (510) 670-1111

39350 Civic Center Dr
Ste 260
Fremont, CA 94538
Phone (408) 358-3888

3077 Stevenson Blvd
Fremont, CA 94538
Phone (510) 438-9154

115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550

27171 Calaroga Ave
Ste 2
Hayward, CA 94545

22268 Foothill Blvd
Ste 3
Hayward, CA 94541
Phone (510) 975-0347

27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000

27171 Calaroga Ave
Ste 1
Hayward, CA 94545
Phone (669) 235-4188

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

520 W I St
Los Banos, CA 93635
Phone (209) 724-0316

14830 Los Gatos Blvd
Ste 300
Los Gatos, CA 95032
Phone (408) 358-2511

145 Trevino Ave
Manteca, CA 95337
Phone (209) 788-8180

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

310 Mercy Ave
Ste B
Merced, CA 95340
Phone (209) 395-2732

333 Mercy Ave
Merced, CA 95340
Phone (209) 385-1280

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: naadihealthcaremanteca.davidrodolfosoto@144887.advancedmd-direct.com
  • Direct secure messaging: prosperovascularandinterventional.davidrsoto@158539.advancedmd-direct.com
  • FHIR API: https://api.platform.athenahealth.com/17475/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/JEBIBD
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: dsoto144615@direct.whhs.com

Organizations & group practices 28

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 28

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1237507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693785600000",
    "number": "1386885382",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21109",
            "city": "CASTRO VALLEY",
            "state": "CA",
            "postal_code": "945469109",
            "telephone_number": "917-405-8859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22268 FOOTHILL BLVD STE 3",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945412723",
            "telephone_number": "917-405-8859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "DAVID",
        "middle_name": "RODOLFO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-20",
        "last_updated": "2023-09-04",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MT189562",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MT189562",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "CA",
            "license": "A107805",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A107805",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.