Active NPI
Juan Alvizar
- Massage Therapist
- Palo Alto, CA
National Provider Identifier
1033990775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 68819
- Practice address
- 2421 Park Blvd Ste B205
Palo Alto, CA 94306-1956 - Phone
- (408) 248-8700
- NPI assigned
- Oct 9, 2023
- Last updated
- Oct 9, 2023
- 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 | 68819 | CA | Primary |
Addresses
Primary practice location
2421 Park Blvd Ste B205
Palo Alto, CA 94306-1956
Mailing address
2421 Park Blvd Ste B205
Palo Alto, CA 94306-1956
Phone (408) 248-8700
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 |
|---|---|---|---|
| 68819 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696809600000",
"number": "1033990775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2421 PARK BLVD STE B205",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061956",
"telephone_number": "408-248-8700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2421 PARK BLVD STE B205",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943061956",
"telephone_number": "408-248-8700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALVIZAR",
"first_name": "JUAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-09",
"last_updated": "2023-10-09",
"certification_date": "2023-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "68819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.