Healthcare Provider Details

I. General information

NPI: 1063579324
Provider Name (Legal Business Name): MARGARITA SOTELO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2007
Last Update Date: 03/04/2026
Certification Date: 03/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE
SAN FRANCISCO CA
94143-2204
US

IV. Provider business mailing address

4250 EL CAMINO REAL
PALO ALTO CA
94306-4406
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-0234
  • Fax:
Mailing address:
  • Phone: 165-038-7476
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA66456
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberA66456
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: