Individual provider Active NPI

Ryan Soto, CRNA

  • Certified Registered Nurse Anesthetist
  • San Bernardino, CA
National Provider Identifier
1972106375
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
95001507 Issued in CA
Practice address
4040 Obsidian Rd
San Bernardino, CA 92407-0465
Phone
(909) 327-8388
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 803722 CA
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X 95001507 CA Primary

Addresses

Primary practice location

4040 Obsidian Rd
San Bernardino, CA 92407-0465

Mailing address

4040 Obsidian Rd
San Bernardino, CA 92407-0465
Phone (909) 327-8388

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210518001469 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 4183033475 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sda Services of CaGroup PAC ID 5496094823, 68 clinicians
Sweet Dreams Anesthesia IncGroup PAC ID 0042477705, 84 clinicians

Practice addresses (Care Compare)

11234 Anderson St
Loma Linda, CA 92354-2804
Phone (909) 558-4456

12595 Hesperia Rd
Suite 100
Victorville, CA 92395-5882
Phone (760) 881-3377

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
95001507CAMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lgibson Anesthesia Inc Single Specialty CurrentSince Sep 15, 2022 Accepting new patients
Liberty Anesthesia Consultants LLC Single Specialty CurrentSince Oct 1, 2022 Accepting new patients
Marquee Anesthesia Consultants Inc Single Specialty CurrentSince Jun 14, 2022 Accepting new patients
Palm Springs Anesthesia Services, PC Single Specialty CurrentSince Nov 9, 2021 Accepting new patients
Sweet Dreams Anesthesia Inc Single Specialty CurrentSince Jan 4, 2026 Accepting new patients
Sda Services of Ca Single Specialty CurrentSince Feb 26, 2024 Accepting new patients

Locations

16030 Kamana Rd
Apple Valley, CA 92307
Phone (760) 617-7718

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

5959 Greenback Ln
Ste 310
Citrus Hts, CA 95621
Phone (916) 527-8921

1900 E Washington St
Colton, CA 92324
Phone (909) 825-3425

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199

1400 Reynolds Ave
Ste 125
Irvine, CA 92614
Phone (657) 900-4536

29300 Portola Pkwy
Ste A
Lake Forest, CA 92630
Phone (949) 305-3913

11234 Anderson St
Loma Linda, CA 92350
Phone (909) 558-3016

25915 Barton Rd
Ste 101
Loma Linda, CA 92354
Phone (714) 394-6465

25915 Barton Rd
Loma Linda, CA 92354
Phone (714) 394-6465

229 E Beverly Blvd
Montebello, CA 90640
Phone (323) 728-5814

73950 Alessandro Dr
Ste 1
Palm Desert, CA 92260
Phone (760) 568-5381

1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251

9674 Archibald Ave
Ste 125
Rch Cucamonga, CA 91730
Phone (909) 296-8930

10408 Industrial Cir
Redlands, CA 92374
Phone (909) 796-0363

1408 Industrial Park Ave
Redlands, CA 92374
Phone (909) 247-1120

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

41900 Winchester Rd
Ste 102
Temecula, CA 92590
Phone (951) 461-6502

12595 Hesperia Rd
Ste 100
Victorville, CA 92395
Phone (760) 881-3377

12595 Hesperia Rd
Victorville, CA 92395
Phone (760) 881-3377

7957 Painter Ave
Ste 104
Whittier, CA 90602
Phone (310) 638-9391

Organizations & group practices 7

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614124800000",
    "number": "1972106375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 OBSIDIAN RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924070465",
            "telephone_number": "909-327-8388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 OBSIDIAN RD",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924070465",
            "telephone_number": "909-327-8388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTO",
        "first_name": "RYAN",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2021-02-24",
        "certification_date": "2021-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "803722",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "95001507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.