Organization Active NPI

Gabriel E. Soto, M.D., Inc.

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Grass Valley, CA
National Provider Identifier
1861693913
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
A74943 Issued in CA
Legal business name
GABRIEL E. SOTO, M.D., INC.
Practice address
105 Catherine LN
Grass Valley, CA 95945-5705
Phone
(530) 273-2525
Fax
(530) 273-4777
NPI assigned
May 29, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Gabriel E. Soto, M.D.
Title
President
Phone
(530) 273-2525

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X A74943 CA Primary

Addresses

Primary practice location

105 Catherine LN
Grass Valley, CA 95945-5705

Mailing address

105 Catherine LN
Grass Valley, CA 95945-5705
Phone (530) 273-2525

Other identifiers 1

IdentifierTypeStateIssuer
00A749430MedicaidCA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1861693913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CATHERINE LN",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455705",
            "telephone_number": "530-273-2525",
            "fax_number": "530-273-4777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CATHERINE LN",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455705",
            "telephone_number": "530-273-2525",
            "fax_number": "530-273-4777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GABRIEL E. SOTO, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "530-273-2525",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "CA",
            "license": "A74943",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A749430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grass Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.