Raphael Adan Sotelo

Primary specialty

PharmacistTaxonomy code 183500000X

License

RPH87813 Issued in CA

Practice address

600 B St
Livingston, CA 95334-9593

Phone

(209) 850-3500

NPI assigned

Aug 14, 2023

Last updated

Aug 14, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691971200000",
    "number": "1972386118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "423 THRUSH DR",
            "city": "PATTERSON",
            "state": "CA",
            "postal_code": "953639005",
            "telephone_number": "209-681-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 B ST",
            "city": "LIVINGSTON",
            "state": "CA",
            "postal_code": "953349593",
            "telephone_number": "209-850-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOTELO",
        "first_name": "RAPHAEL",
        "middle_name": "ADAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-08-14",
        "last_updated": "2023-08-14",
        "certification_date": "2023-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "CA",
            "license": "RPH87813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wesley Snell
• Lakhbir Bikramjit Singh Sodhi, NURSE PRACTITIONER
• Valerie Itzel Solano, DDS
• Jair Solis Lopez
• Mahvash Roya Soltani, NP-BC
• Alicia Michelle Tanabe, PHARMD
• Gurvinder Kaur Thiara, COTA
• Thrifty Payless Inc (Rite Aid Pharmacy 06379)
• Universal Medical Center, Inc.
• Ganesan Venkatapathy, MD

• Pharmacist in Livingston, CA
• Providers in Livingston, CA by specialty
• Pharmacist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2023; 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.