NPIMap

Organization Active NPI

Antonio Soto Jr DC Chiropractic Professional Corporation

  • Chiropractor
  • Stockton, CA
National Provider Identifier
1073643888
Registry record updated Jun 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC13684 Issued in CA
Legal business name
ANTONIO SOTO JR DC CHIROPRACTIC PROFESSIONAL CORPORATION
Doing business as
Soto Chiropractic Inc
Practice address
1212 West Robinhood Drive
Suite 1F
Stockton, CA 95207
Phone
(209) 474-8215
Fax
(209) 474-8953
NPI assigned
Mar 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2008

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

Authorized official

Name
Dr. Antonio Soto Jr., DCNPI 1003871153
Title
Owner Doctor
Phone
(209) 474-8215

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC13684 CA Primary
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC21575 CA
ChiropractorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 111N00000X DC28941 CA

Addresses

Primary practice location

1212 West Robinhood Drive
Suite 1F
Stockton, CA 95207

Mailing address

1212 West Robinhood Drive
Suite 1F
Stockton, CA 95207
Phone (209) 474-8215

Other names 1

  • Soto Chiropractic Inc Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041220001017 CA Part B Supplier - Clinic/Group Practice 1951369172 Receives reassigned benefits from 3 practitioners
Practice locations: Stockton, CA

National Provider Directory

National Provider Directory

Locations

1212 W Robinhood Dr
Ste 1F
Stockton, CA 95207
Phone (209) 474-8215

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214438400000",
    "number": "1073643888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1212 WEST ROBINHOOD DRIVE",
            "address_2": "SUITE 1F",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95207",
            "telephone_number": "209-474-8215",
            "fax_number": "209-474-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1212 WEST ROBINHOOD DRIVE",
            "address_2": "SUITE 1F",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "95207",
            "telephone_number": "209-474-8215",
            "fax_number": "209-474-8953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO SOTO JR DC CHIROPRACTIC PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2008-06-26",
        "status": "A",
        "authorized_official_last_name": "SOTO",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "OWNER DOCTOR",
        "authorized_official_telephone_number": "209-474-8215",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC13684",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC21575",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC28941",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soto Chiropractic Inc",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.