Active NPI
Sarah Sotelo, MD
- Child Abuse Pediatrics Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child Abuse Pediatrics Physician
- License
- MD483490
- Practice address
- 1200 N State St
Cta7D
Los Angeles, CA 90033-1029 - Phone
- (909) 706-7416
- NPI assigned
- Mar 24, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Child Abuse Pediatrics Physician | 2080C0008X | MD483490 | PA | Primary |
Addresses
Primary practice location
1200 N State St
Cta7D
Los Angeles, CA 90033-1029
Mailing address
2020 Zonal Ave # Ird112
Los Angeles, CA 90089-0121
Phone (323) 409-5707
Other practice location 1
2645 N 3rd St Fl 1
Harrisburg, PA 17110-2001
Phone (717) 782-6800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ssotelo206828@phsdirect.pinnaclehealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Pinnacle Health Medical Services | Current | Accepting new patients |
Locations
2645 N 3rd St
Fl 1ST
Harrisburg, PA 17110
Phone (717) 782-2326
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
2645 N 3rd St
Fl 1
Harrisburg, PA 17110
Phone (717) 782-6800
Interoperability endpoints
- ssotelo304146@upmc.direct-ci.com
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Harrisburg, PA
- NPI 1932143427
-
- Gastroenterology Physician
- Mechanicsburg, PA
- NPI 1295552073
-
- Pediatric Surgery Physician
- Lemoyne, PA
- NPI 1770535551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732838400000",
"number": "1790216356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 ZONAL AVE # IRD112",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900890121",
"telephone_number": "323-409-5707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N STATE ST",
"address_2": "CTA7D",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331029",
"telephone_number": "909-706-7416"
}
],
"practiceLocations": [
{
"address_1": "2645 N 3rd St Fl 1",
"address_purpose": "LOCATION",
"city": "Harrisburg",
"state": "PA",
"postal_code": "171102001",
"country_code": "US",
"telephone_number": "717-782-6800",
"fax_number": "717-782-6801",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOTELO",
"first_name": "SARAH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-24",
"last_updated": "2024-11-29",
"certification_date": "2024-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2080C0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Child Abuse Pediatrics",
"state": "PA",
"license": "MD483490",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ssotelo206828@phsdirect.pinnaclehealth.org",
"affiliation": "N",
"address_1": "2645 N 3rd St Fl 1",
"city": "Harrisburg",
"state": "PA",
"country_code": "US",
"postal_code": "171102001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.