SHADETTE OLJOL SORIANO PMHNP, MSN-BC
NPI 1467712752
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Active since May 21, 2012PECOS EnrolledAccepts Medicare Assignment
7850 VISTA HILL AVE, SAN DIEGO, CA 92123(858) 836-8360 Get Directions Write a Review

NPPES record last updated: May 16, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 16, 2024, Jul 21, 2022 (2 updates tracked since 2022).

About Shadette Oljol Soriano Pmhnp, Msn-bc NPPES

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

SHADETTE OLJOL SORIANO PMHNP, MSN-BC (NPI 1467712752) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95029783) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1467712752
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSHADETTE OLJOL SORIANOCredential: PMHNP, MSN-BC
Location Address7850 VISTA HILL AVESan Diego, CA 92123-2717
Mailing Address11526 Via Santa BrisaSan Diego, CA 92131-4259 · (858) 414-8970
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 21, 2012
Last NPPES UpdateMay 16, 20242 updates tracked since enumeration
NPPES CertifiedMay 16, 2024
NPI 1467712752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in CA · 95029783
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License 95022060 (CA)
7850 VISTA HILL AVE, San Diego, CA 92123

Other Names 1

Former Name (1)Shadette Dales Oljol

Secondary Practice Location 1

Location 13539 College AveSan Diego, CA 92115-7032 · Phone (619) 818-3788

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shadette Oljol Soriano Pmhnp, Msn-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1557806528
PECOS Enrollment IDI20240715000970
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92123 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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.

Recreation Therapist
7850 VISTA HILL AVE
SAN DIEGO, CA 92123
Psychiatry & Neurology (Psychiatry)
7850 VISTA HILL AVE
SAN DIEGO, CA 92123
Social Worker (Clinical)
7850 VISTA HILL AVE
SAN DIEGO, CA 92123
Nurse Practitioner (Psychiatric/Mental Health)
7850 VISTA HILL AVE
SAN DIEGO, CA 92123
Social Worker (Clinical)
7850 VISTA HILL AVE
SAN DIEGO, CA 92123
Psychologist
7850 VISTA HILL AVE
SAN DIEGO, CA 92123
Preventive Medicine (Addiction Medicine)
7850 VISTA HILL AVE
SAN DIEGO, CA 92123
Psychiatry & Neurology (Child & Adolescent Psychiatry)
7850 VISTA HILL AVE
SAN DIEGO, CA 92123

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 Shadette Soriano's NPI number?

The NPI number for Shadette Soriano is 1467712752. It was assigned to this individual provider in the NPPES registry on May 21, 2012. The provider is also known as Shadette Dales Oljol.

Where is Shadette Soriano located?

Shadette Soriano practices at 7850 Vista Hill Ave, San Diego, CA 92123. The listed phone number is (858) 836-8360.

What is Shadette Soriano's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Shadette Soriano enrolled in Medicare?

Yes. Shadette Soriano is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shadette Soriano was last updated on May 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.