Individual provider Active NPI

Fortunata R. Soto

  • General Practice Dentistry
  • San Diego, CA
National Provider Identifier
1841320231
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
40987 Issued in CA
Practice address
3065 Clairemont Dr Ste C
San Diego, CA 92117-6974
Phone
(619) 275-2626
Fax
(619) 275-5937
NPI assigned
Mar 6, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 40987 CA Primary

Addresses

Primary practice location

3065 Clairemont Dr Ste C
San Diego, CA 92117-6974

Mailing address

3065 Clairemont Dr Ste C
San Diego, CA 92117-6974
Phone (619) 275-2626

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

State licenses

LicenseStateTypeSpecialty
40987CAMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Newman Soto Dental Group General Practice Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fsoto@direct.westerndental.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841320231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3065 CLAIREMONT DR STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176974",
            "telephone_number": "619-275-2626",
            "fax_number": "619-275-5937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3065 CLAIREMONT DR STE C",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176974",
            "telephone_number": "619-275-2626",
            "fax_number": "619-275-5937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "FORTUNATA",
        "middle_name": "R.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.