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DENISSE MARIE SOTO SOTO MD
NPI 1366929200
Obstetrics & Gynecology in San Diego, CA

Active since July 24, 2018PECOS Enrolled
4060 FAIRMOUNT AVE, SAN DIEGO, CA 92105(619) 280-4213 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 21, 2021, Jul 24, 2018 (2 updates tracked since 2018).

About Denisse Marie Soto Soto Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENISSE MARIE SOTO SOTO MD (NPI 1366929200) is an individual obstetrics & gynecology provider in San Diego, California, licensed in California (2092346) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Ponce School Of Medicine (2020).

NPPES Registry Identity

NPI1366929200
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDENISSE MARIE SOTO SOTOCredential: MD
Location Address4060 FAIRMOUNT AVESan Diego, CA 92105-1608
Mailing AddressPo Box 800485Coto Laurel, PR 00780-0485
Phone(619) 280-4213
Sole ProprietorNo
Medical School CMSPonce School Of MedicineGraduated 2020
Enumeration DateJuly 24, 2018
Last NPPES UpdateOctober 28, 20252 updates tracked since enumeration
NPPES CertifiedOctober 28, 2025
✔ NPI 1366929200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in CA · 2092346
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4060 FAIRMOUNT AVE, San Diego, CA 92105
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denisse Marie Soto Soto Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID244717015
PECOS Enrollment IDI20260122003467
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Denisse Soto Soto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

La Maestra Family Clinic, Inc.
Same address
Federally Qualified Health Center (FQHC)
4060 FAIRMOUNT AVE
San Diego, CA 92105
  • Reassigned Medicare billing, California enrollment
  • 102 clinicians in this Medicare group
NPI 1609849074 (619) 280-4213

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92105 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.22 typical visit price
range $62.10 – $184.71
Typical copayment $35.05 (range $15.52 – $46.17)
Most-billed visit code 99204
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DORA DOAN O.D.
Optometrist
4060 FAIRMOUNT AVE, OPTOMETRY DEPARTMENT
SAN DIEGO, CA 92105
San Diego County (619) 961-0803
DIANA P ALVAREZ MSW
Counselor (Mental Health)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 295-6047
ANTOINETTE KIM LIEU PHARMD
Pharmacist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 564-7013
KALEELAH RAE, NAJA MUHAMMAD
Student in an Organized Health Care Education/Training Program
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 280-4213
DR. ADLA TESSIER M.D.
Internal Medicine
4060 FAIRMOUNT AVE, FAMILY PRACTICE
SAN DIEGO, CA 92105
San Diego County (619) 255-9155
CYNTHIA MIRANDA PSYD
Psychologist
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 564-8765
TONYA DANIELLE DANIEL LCSW
Social Worker (Clinical)
4060 FAIRMOUNT AVE
SAN DIEGO, CA 92105
San Diego County (619) 584-1612
SAMANTHA GOGGIN MD
Pediatrics
4060 FAIRMOUNT AVE, PEDIATRICS DEPARTMENT
SAN DIEGO, CA 92105
San Diego County (619) 255-9154

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Denisse Soto Soto's NPI number?

The NPI number for Denisse Soto Soto is 1366929200. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Denisse Soto Soto located?

Denisse Soto Soto practices at 4060 Fairmount Ave, San Diego, CA 92105. The listed phone number is (619) 280-4213.

What is Denisse Soto Soto's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Denisse Soto Soto enrolled in Medicare?

Yes. Denisse Soto Soto is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Denisse Soto Soto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denisse Soto Soto reassigns Medicare benefits to La Maestra Family Clinic, Inc. (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Denisse Soto Soto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Denisse Soto Soto was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.