Active NPI
Charlene May Goodman, MT
- Massage Therapist
- Encinitas, CA
National Provider Identifier
1013729987
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 54658
- Practice address
- 1054 2ND St
Encinitas, CA 92024-5009 - Phone
- (858) 901-7316
- NPI assigned
- Jan 27, 2025
- Sex
- Female
- 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 | 54658 | CA | Primary |
Addresses
Primary practice location
1054 2ND St
Encinitas, CA 92024-5009
Mailing address
1394 Dandelion Way
San Marcos, CA 92078-0801
Phone (808) 358-7423
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
- Credentials
- Medical Technician
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1737936000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737936000000",
"number": "1013729987",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1394 DANDELION WAY",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920780801",
"telephone_number": "808-358-7423"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1054 2ND ST",
"city": "ENCINITAS",
"state": "CA",
"postal_code": "920245009",
"telephone_number": "858-901-7316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOODMAN",
"first_name": "CHARLENE",
"middle_name": "MAY",
"credential": "MT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-01-27",
"last_updated": "2025-01-27",
"certification_date": "2025-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "54658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encinitas, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.