Individual provider Active NPI

Kirk C So, M.D.

  • Diagnostic Radiology Physician
  • Walnut Creek, CA
National Provider Identifier
1780610345
Registry record updated Apr 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
A87456 Issued in CA
Practice address
2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone
(925) 296-7150
Fax
(925) 296-7171
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A87456 CA Primary

Addresses

Primary practice location

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536

Mailing address

2125 Oak Grove Rd
Suite 200
Walnut Creek, CA 94598-2536
Phone (925) 296-7150

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050502000547 CA Practitioner - Diagnostic Radiology 5991744617 Reassigns benefits to 8 organizations
I20200403001610 HI Practitioner - Diagnostic Radiology 5991744617 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Chicago, Pritzker School of Medicine, 1999
Medicare assignment
May accept Medicare assignment
Group practices
John Muir Magnetic Imaging CenterGroup PAC ID 9032019625, 57 clinicians
Magnetic Imaging Affiliates LLCGroup PAC ID 5496066961, 43 clinicians

Practice addresses (Care Compare)

115 La Casa Via
Suite 100
Walnut Creek, CA 94598-3042
Phone (925) 295-1545

15 Bay Forest Dr
Oakland, CA 94611-1052
Phone (925) 296-7150

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598-3122
Phone (925) 295-1545

1601 Ygnacio Vly Rd
Walnut Creek, CA 94596-0921
Phone (925) 939-3000

2410 High School Ave
Concord, CA 94520-1829
Phone (925) 687-5600

500 Ala Moana Blvd
Honolulu, HI 96813-4902
Phone (925) 296-7150

5730 Telegraph Ave
Oakland, CA 94609-1710
Phone (510) 204-2744

6377 Ascot Dr
Oakland, CA 94611-2525
Phone (925) 296-7150

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.63 of 100Reported as group
Quality
67.56
Improvement activities
40
Cost
71.56

Merit-based Incentive Payment System (MIPS)

Final score
83.33 of 100Reported as group
Quality
77.37
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
90.67 of 100Reported as group
Quality
84.1
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A87456CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Michael P Sherman MD PHD, a Medical Corporation CurrentSince May 11, 2023 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Mar 9, 2020 Accepting new patients
Magnetic Imaging Affiliates, LLC Diagnostic Radiology CurrentSince Aug 1, 2015 Accepting new patients
John Muir Trauma Physicians Billing Service Diagnostic Radiology CurrentSince Nov 1, 2006 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jan 1, 2025 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology Current Accepting new patients
John Muir Physician Network CurrentSince Jun 26, 2017 Accepting new patients
Bay Imaging Consultants Medical Group Inc Diagnostic Radiology CurrentSince Dec 7, 1986 Accepting new patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Queens University Medical Group CurrentSince Jan 1, 2025 Accepting new patients
John Muir Magnetic Imaging Center Diagnostic Radiology CurrentSince May 1, 2005 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Northbay Healthcare Group Past Accepting new patients
Eden Medical Center/San Leandro Hospital Campus Past Accepting new patients
John Muir Call Coverage Medical Group, Inc. Past Accepting new patients
Stanford Health Care Diagnostic Radiology Past Accepting new patients
John Muir Health Past Accepting new patients

Locations (25 of 34)

2070 Clinton Ave
Alameda, CA 94501
Phone (510) 522-3700

3901 Lone Tree Way
Antioch, CA 94509
Phone (925) 779-7200

2001 Dwight Way
Ste A
Berkeley, CA 94704
Phone (210) 204-4460

2001 Dwight Way
Berkeley, CA 94704
Phone (510) 204-1880

2450 Ashby Ave
Berkeley, CA 94705
Phone (510) 204-1566

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2400 Balfour Rd
Brentwood, CA 94513
Phone (925) 308-8100

2400 Balfour Rd
Ste 100
Brentwood, CA 94513
Phone (925) 308-8122

20103 Lake Chabot Rd
Ste 103
Castro Valley, CA 94546
Phone (510) 899-5052

2540 East St
Concord, CA 94520
Phone (925) 674-2228

2410 High School Ave
Concord, CA 94520
Phone (925) 687-5600

2700 Low Ct
Fairfield, CA 94534
Phone (707) 432-2500

1133 E Stanley Blvd
Livermore, CA 94550
Phone (925) 373-4500

5730 Telegraph Ave
Oakland, CA 94609
Phone (510) 204-1507

5730 Telegraph Ave
Ste 200
Oakland, CA 94609

3100 Summit St
Oakland, CA 94609
Phone (510) 869-8377

140 Brookwood Rd
Ste 100
Orinda, CA 94563
Phone (925) 254-9090

380 Civic Dr
Ste 100
Pleasant Hill, CA 94523
Phone (925) 284-3840

5555 W Las Positas Blvd
Pleasanton, CA 94588
Phone (925) 416-3418

13855 E 14th St
San Leandro, CA 94578
Phone (510) 357-6500

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

300 Hospital Dr
#1112
Vallejo, CA 94589
Phone (707) 554-4107

3000 Oak Rd
Ste 111
Walnut Creek, CA 94597
Phone (925) 465-8400

1450 Treat Blvd
Ste 130
Walnut Creek, CA 94597
Phone (925) 296-9090

1601 Ygnacio Valley Rd
#100
Walnut Creek, CA 94598
Phone (925) 947-5245

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427932800000",
    "number": "1780610345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2125 OAK GROVE RD",
            "address_2": "SUITE 200",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982536",
            "telephone_number": "925-296-7150",
            "fax_number": "925-296-7171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SO",
        "first_name": "KIRK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2015-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A87456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.