Active NPI
Jan Hermann, CLMT
- Massage Therapist
- Pasadena, CA
National Provider Identifier
1043838402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 1450 N Lake Ave
Pasadena, CA 91104-2387 - Phone
- (626) 798-7805
- NPI assigned
- Jul 10, 2020
- Sex
- Male
- Sole proprietor
- No
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 | Primary |
Addresses
Primary practice location
1450 N Lake Ave
Pasadena, CA 91104-2387
Mailing address
9036 Arcadia Ave Apt 16
San Gabriel, CA 91775-1454
Phone (626) 616-2542
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 79049 | Other | CA | STATE LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | ChiroTouch | Health Information Exchange (HIE) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603238400000",
"number": "1043838402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9036 ARCADIA AVE APT 16",
"city": "SAN GABRIEL",
"state": "CA",
"postal_code": "917751454",
"telephone_number": "626-616-2542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 N LAKE AVE",
"city": "PASADENA",
"state": "CA",
"postal_code": "911042387",
"telephone_number": "626-798-7805"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMANN",
"first_name": "JAN",
"credential": "CLMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-07-10",
"last_updated": "2020-10-21",
"certification_date": "2020-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE NUMBER",
"identifier": "79049",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "ChiroTouch",
"affiliation": "N",
"endpointDescription": "Online Software",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1450 N Lake Ave",
"city": "Pasadena",
"state": "CA",
"country_code": "US",
"postal_code": "911042387",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Pasadena, CA
- Megan Ruth Herek
- Heritage Clinic and the Community Assistance Program for Seniors
- Heritage Orthopedic & Industrial Medicine Multi-Specialty Group, Inc.
- Heritage Senior Services
- Herling Medical Corporation
- Michelle Liwag Hermita, PT
- Veronica Hernandez Angel
- Gilberto Hernandez Garcia
- Valeria Hernandez Hernandez
- Michelle Hernandez Pastor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 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.