Provider Demographics
NPI:1982656013
Name:SOTO, DARYA (MD)
Entity Type:Individual
Prefix:DR
First Name:DARYA
Middle Name:
Last Name:SOTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ROWLAND WAY, STE 300
Mailing Address - Street 2:
Mailing Address - City:NOVATO
Mailing Address - State:CA
Mailing Address - Zip Code:94945-5041
Mailing Address - Country:US
Mailing Address - Phone:415-878-0225
Mailing Address - Fax:415-878-0215
Practice Address - Street 1:100 ROWLAND WAY, STE 300
Practice Address - Street 2:
Practice Address - City:NOVATO
Practice Address - State:CA
Practice Address - Zip Code:94945-5041
Practice Address - Country:US
Practice Address - Phone:415-878-0225
Practice Address - Fax:415-878-0215
Is Sole Proprietor?:No
Enumeration Date:2006-05-17
Last Update Date:2022-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA63874207RS0012X, 207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1164674248OtherPRACTICE NPI
CA00A638740Medicare PIN
CAG64682Medicare UPIN