Individual provider Active NPI

Caleb P Masuda, M.S. L.AC

  • Acupuncturist
  • Placerville, CA
National Provider Identifier
1679095822
Registry record updated May 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
17564 Issued in CA
Practice address
1166 Broadway Ste R
Placerville, CA 95667-5745
Phone
(530) 303-8245
Fax
(855) 345-9153
NPI assigned
Jul 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193400000X SINGLE SPECIALTY GROUP 171100000X 17564 CA Primary

Addresses

Primary practice location

1166 Broadway Ste R
Placerville, CA 95667-5745

Mailing address

1166 Broadway Ste R
Placerville, CA 95667-5745
Phone (530) 303-8245

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
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1499644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746748800000",
    "number": "1679095822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 BROADWAY STE R",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675745",
            "telephone_number": "530-303-8245",
            "fax_number": "855-345-9153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 BROADWAY STE R",
            "city": "PLACERVILLE",
            "state": "CA",
            "postal_code": "956675745",
            "telephone_number": "530-303-8245",
            "fax_number": "855-345-9153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASUDA",
        "first_name": "CALEB",
        "middle_name": "P",
        "credential": "M.S. L.AC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-07-10",
        "last_updated": "2025-05-09",
        "certification_date": "2025-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "17564",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placerville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2025; 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.