Organization Active NPI

Medical Massage Clinic, LLC

  • Massage Therapist
  • Escondido, CA
National Provider Identifier
1013511971
Registry record updated Nov 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
MEDICAL MASSAGE CLINIC, LLC
Practice address
250 E Grand Ave Ste F
Escondido, CA 92025-2803
Phone
(760) 871-9425
NPI assigned
Nov 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2020

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

Authorized official

Name
Erin Alessandro, HHPNPI 1467056325
Title
Owner
Phone
(760) 871-9425

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

250 E Grand Ave Ste F
Escondido, CA 92025-2803

Mailing address

1301 S Hale Ave SPC 41
Escondido, CA 92029-3056

National Provider Directory

National Provider Directory

Locations

250 E Grand Ave
Ste F
Escondido, CA 92025
Phone (760) 871-9425

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1606003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606003200000",
    "number": "1013511971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 S HALE AVE SPC 41",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920293056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E GRAND AVE STE F",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920252803",
            "telephone_number": "760-871-9425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MASSAGE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-22",
        "last_updated": "2020-11-22",
        "certification_date": "2020-11-22",
        "status": "A",
        "authorized_official_last_name": "ALESSANDRO",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-871-9425",
        "authorized_official_credential": "HHP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2020; 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.