Active NPI
Caleb P Masuda, M.S. L.AC
- Acupuncturist
- Placerville, CA
National Provider Identifier
1679095822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 17564
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 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.