Active NPI
Raman Khoshabeh, LMT
- Massage Therapist
- San Diego, CA
National Provider Identifier
1013517457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 331571-00
- Practice address
- 12650 Sabre Springs Pkwy Ste 201
San Diego, CA 92128-4114 - Phone
- (858) 335-4900
- NPI assigned
- Oct 26, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 331571-00 | CA | Primary |
Addresses
Primary practice location
12650 Sabre Springs Pkwy Ste 201
San Diego, CA 92128-4114
Mailing address
PO Box 503245
San Diego, CA 92150-3245
Phone (858) 335-4900
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
| License | State | Type | Specialty |
|---|---|---|---|
| 331571-00 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1013517457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 503245",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921503245",
"telephone_number": "858-335-4900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12650 SABRE SPRINGS PKWY STE 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921284114",
"telephone_number": "858-335-4900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHOSHABEH",
"first_name": "RAMAN",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "331571-00",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.