Individual provider Active NPI

Calvin So

  • Acupuncturist
  • Modesto, CA
National Provider Identifier
1700810892
Registry record updated Oct 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC10307 Issued in CA
Practice address
#32B, 2ND FL, Building 'C', 1620 N. Carpenter Rd,
Modesto, CA 95351
Phone
(209) 324-7832
Fax
(209) 578-0308
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10307 CA Primary

Addresses

Primary practice location

#32B, 2ND FL, Building 'C', 1620 N. Carpenter Rd,
Modesto, CA 95351

Mailing address

2409 Quail Meadow CT
Modesto, CA 95355-9246
Phone (209) 578-0308

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
AC10307CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761004800000",
    "number": "1700810892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2409 QUAIL MEADOW CT",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953559246",
            "telephone_number": "209-578-0308",
            "fax_number": "209-578-0308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "#32B, 2ND FL, BUILDING 'C', 1620 N. CARPENTER RD,",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95351",
            "telephone_number": "209-324-7832",
            "fax_number": "209-578-0308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "CALVIN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2025-10-21",
        "certification_date": "2025-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.