Healthcare Provider Details

I. General information

NPI: 1235850116
Provider Name (Legal Business Name): DARYA SOTO MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2022
Last Update Date: 05/22/2026
Certification Date: 05/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7100 REDWOOD BLVD STE 150
NOVATO CA
94945-4159
US

IV. Provider business mailing address

100 ROWLAND WAY STE 300
NOVATO CA
94945-5041
US

V. Phone/Fax

Practice location:
  • Phone: 415-878-0225
  • Fax: 415-878-0215
Mailing address:
  • Phone: 415-878-0225
  • Fax: 415-878-0215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: DARYA SOTO
Title or Position: MEDICAL DIRECTOR
Credential:
Phone: 415-878-0225