Individual provider Active NPI

Cherie Lyn Shoaf Soto

  • Nurse Practitioner
  • San Diego, CA
National Provider Identifier
1851876254
Registry record updated Aug 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
95005521 Issued in CA
Practice address
770 1St Ave Ste 250
San Diego, CA 92101-6170
Phone
(619) 327-9811
NPI assigned
Oct 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X NP95005521 CA
Nurse Practitioner 363L00000X 95005521 CA Primary

Addresses

Primary practice location

770 1St Ave Ste 250
San Diego, CA 92101-6170

Mailing address

770 1St Ave Ste 250
San Diego, CA 92101-6170
Phone (619) 327-9811

Other practice location 1

23822 Via Segovia
Murrieta, CA 92562-4691
Phone (951) 847-1454

Other practice location 2

2091 W Florida Ave Ste 205
Hemet, CA 92545-4800
Phone (909) 359-2742

Other practice location 3

3401 Centre Lake Dr Ste 512
Ontario, CA 91761-1201
Phone (909) 566-0445

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190124000280 CA Practitioner - Nurse Practitioner 3476890732 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95005521CAMDNurse Practitioner
NP95005521CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Concertocare Medical Group of California, P.C. CurrentSince Jun 3, 2024 Accepting new patients

Locations

7677 Center Ave
Ste 214
Huntington Beach, CA 92647
Phone (310) 433-9507

7677 Center Ave
Huntington Beach, CA 92647
Phone (714) 881-8700

811 Main St
#7
Kansas City, MO 64105

Interoperability endpoints

  • Direct secure messaging: csoto@landmarkhealth-direct.org

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": "1538352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723420800000",
    "number": "1851876254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 1ST AVE STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016170",
            "telephone_number": "619-327-9811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 1ST AVE STE 250",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921016170",
            "telephone_number": "619-327-9811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23822 Via Segovia",
            "address_purpose": "LOCATION",
            "city": "Murrieta",
            "state": "CA",
            "postal_code": "925624691",
            "country_code": "US",
            "telephone_number": "951-847-1454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2091 W Florida Ave Ste 205",
            "address_purpose": "LOCATION",
            "city": "Hemet",
            "state": "CA",
            "postal_code": "925454800",
            "country_code": "US",
            "telephone_number": "909-359-2742",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3401 Centre Lake Dr Ste 512",
            "address_purpose": "LOCATION",
            "city": "Ontario",
            "state": "CA",
            "postal_code": "917611201",
            "country_code": "US",
            "telephone_number": "909-566-0445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOTO",
        "first_name": "CHERIE",
        "middle_name": "LYN SHOAF",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-01",
        "last_updated": "2024-08-12",
        "certification_date": "2024-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95005521",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "95005521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.