Individual provider Active NPI

Candice T So, D.C.

  • Chiropractor
  • San Francisco, CA
National Provider Identifier
1639466394
Registry record updated Jul 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
32035 Issued in CA
Practice address
1237 Van Ness Ave
Suite 300
San Francisco, CA 94109-5506
Phone
(415) 775-4204
NPI assigned
Jul 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 32035 CA Primary

Addresses

Primary practice location

1237 Van Ness Ave
Suite 300
San Francisco, CA 94109-5506

Mailing address

1237 Van Ness Ave
Suite 300
San Francisco, CA 94109-5506
Phone (415) 775-4204

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120613000183 CA Practitioner - Chiropractic 1951561182 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Latch and So ChiropracticGroup PAC ID 7810944139, 4 clinicians

Practice addresses (Care Compare)

1237 Van Ness Ave
San Francisco, CA 94109-5506
Phone (415) 775-4204

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Latch and So Chiropractic Chiropractor CurrentSince Jan 9, 2012 Accepting new patients

Locations

1237 Van Ness Ave
Ste 300
San Francisco, CA 94109
Phone (415) 240-9662

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309478400000",
    "number": "1639466394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1237 VAN NESS AVE",
            "address_2": "SUITE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095506",
            "telephone_number": "415-775-4204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1237 VAN NESS AVE",
            "address_2": "SUITE 300",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941095506",
            "telephone_number": "415-775-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "CANDICE",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-01",
        "last_updated": "2011-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "32035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.