DR. ANTONIO SOTO JR. DC NPI 1003871153

Chiropractor in Stockton, CA

About ANTONIO SOTO

Antonio Soto is a provider in Stockton, CA with more than 38 years of experience. The NPI number assigned to this provider is 1003871153. The practitioner's primary taxonomy code is Chiropractor (111N00000X). The provider is registered as an individual and their NPI record was last updated 10 years ago. Antonio Soto is registered with Medicare and accepts claims assignment.

NPI1003871153 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. ANTONIO SOTO JR. DC
Provider Location Address1212 W ROBINHOOD DR STE IF STOCKTON, CA 95207 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1212 W ROBINHOOD DR STE IF STOCKTON, CA 95207 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Medical School NameLOS ANGELES COLLEGE OF CHIROPRACTIC
Graduation Year1980
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-20-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. ANTONIO SOTO JR. DC
1212 W ROBINHOOD DR
STE IF
STOCKTON, CA
ZIP 95207
Phone: (209) 474-8215
Fax: (209) 474-8953
Get Directions

Mailing Address

DR. ANTONIO SOTO JR. DC
1212 W ROBINHOOD DR
STE IF
STOCKTON, CA
ZIP 95207
Phone: (209) 474-8215
Fax: (209) 474-8953

Primary Taxonomy

Taxonomy Code111N00000X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationChiropractor
TypeChiropractic Providers
License No.DC13684
License StateCA
Taxonomy DescriptionA provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
T05101MEDICARE UPIN (02)
5749OTHER (01)WA
DC0136840MEDICARE ID-TYPE UNSPECIFIED (04)CA

Map Location


DR. ANTONIO SOTO JR. DC address is 1212 W ROBINHOOD DR STE IF STOCKTON, CA 95207