Active NPI
Raul Jesus Soto
- Addiction (Substance Use Disorder) Counselor
- Santa Clara, CA
National Provider Identifier
1740798628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 1659 Scott Blvd Ste 30
Santa Clara, CA 95050-4137 - Phone
- (408) 998-5242
- NPI assigned
- Jan 13, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary |
Addresses
Primary practice location
1659 Scott Blvd Ste 30
Santa Clara, CA 95050-4137
Mailing address
102 S 11TH St
San Jose, CA 95112-2132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101YA0400X | Other | CA | SUBSTANCE ABUSE COUNSELING |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1515801600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1515801600000",
"number": "1740798628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 S 11TH ST",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951122132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1659 SCOTT BLVD STE 30",
"city": "SANTA CLARA",
"state": "CA",
"postal_code": "950504137",
"telephone_number": "408-998-5242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOTO",
"first_name": "RAUL",
"middle_name": "JESUS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-01-13",
"last_updated": "2018-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SUBSTANCE ABUSE COUNSELING",
"identifier": "101YA0400X",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Clara, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.