Active NPI
Jasmine Pauthena Okafor, LMT
- Massage Therapist
- Canoga Park, CA
National Provider Identifier
1043943525
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 80067
- Practice address
- 21601 Vanowen St Ste 207
Canoga Park, CA 91303-2753 - Phone
- (888) 890-0043
- Fax
- (818) 698-3900
- NPI assigned
- Jul 2, 2022
- 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 | 80067 | CA | Primary |
Addresses
Primary practice location
21601 Vanowen St Ste 207
Canoga Park, CA 91303-2753
Mailing address
15030 Ventura Blvd # 295
Sherman Oaks, CA 91403-5470
Phone (888) 890-0043
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": "1656720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658707200000",
"number": "1043943525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15030 VENTURA BLVD # 295",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914035470",
"telephone_number": "888-890-0043",
"fax_number": "818-698-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21601 VANOWEN ST STE 207",
"city": "CANOGA PARK",
"state": "CA",
"postal_code": "913032753",
"telephone_number": "888-890-0043",
"fax_number": "818-698-3900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OKAFOR",
"first_name": "JASMINE",
"middle_name": "PAUTHENA",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-02",
"last_updated": "2022-07-25",
"certification_date": "2022-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "80067",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canoga Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.