Soto April MD delivers family medicine care in downtown San Diego through San Ysidro Health's network, practicing from 120 Elm Street near the Bankers Hill corridor. San Ysidro Health has operated as a federally qualified health center since its 1969 founding, growing from a three-room house along the border into a 50-plus-site system—one of several FQHC providers in the downtown core alongside Downtown Family Health Center at Connections on 14th Street. Holding California medical license A92816 with a 2004 degree from the University of California San Francisco, the practitioner manages chronic conditions including diabetes, hypertension, and asthma across a panel of all ages. The practice coordinates integrated behavioral health referrals for patients needing psychiatric medication management, routing to downtown providers like Psychiatry And Counseling San Diego for specialized treatment. The clinic's FQHC designation enables sliding-scale billing and Medi-Cal acceptance, supporting comprehensive chronic-disease management protocols that include A1C monitoring, lipid panels, and blood-pressure titration for patients regardless of coverage status.