Individual provider Active NPI

Aquilino Michael Soriano, LAC

  • Acupuncturist
  • Chula Vista, CA
National Provider Identifier
1003057985
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
5724 Issued in CA
Practice address
374 H St
Ste 202
Chula Vista, CA 91910-5547
Phone
(619) 426-4546
Fax
(619) 426-0527
NPI assigned
Mar 23, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X 5724 CA Primary

Addresses

Primary practice location

374 H St
Ste 202
Chula Vista, CA 91910-5547

Mailing address

374 H St
Ste 202
Chula Vista, CA 91910-5547
Phone (619) 426-4546

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5724CAMDAcupuncturist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237766400000",
    "number": "1003057985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "374 H ST",
            "address_2": "STE 202",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105547",
            "telephone_number": "619-426-4546",
            "fax_number": "619-426-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 H ST",
            "address_2": "STE 202",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919105547",
            "telephone_number": "619-426-4546",
            "fax_number": "619-426-0527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SORIANO",
        "first_name": "AQUILINO",
        "middle_name": "MICHAEL",
        "credential": "LAC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-03-23",
        "last_updated": "2009-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "5724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.