Individual provider Active NPI

Charles T Savoca, L.AC.

  • Acupuncturist
  • Soquel, CA
National Provider Identifier
1871659425
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
AC3136 Issued in CA
Practice address
3121 Park Ave Ste H
Soquel, CA 95073-2956
Phone
(831) 479-3760
Fax
(831) 464-9110
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC3136 CA Primary

Addresses

Primary practice location

3121 Park Ave Ste H
Soquel, CA 95073-2956

Mailing address

3121 Park Ave Ste H
Soquel, CA 95073-2956
Phone (831) 479-3760

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
AC3136CAMDAcupuncturist

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1871659425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3121 PARK AVE STE H",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732956",
            "telephone_number": "831-479-3760",
            "fax_number": "831-464-9110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3121 PARK AVE STE H",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732956",
            "telephone_number": "831-479-3760",
            "fax_number": "831-464-9110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVOCA",
        "first_name": "CHARLES",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "L.AC.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC3136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Soquel, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.