Individual provider Active NPI

Jasmine Pauthena Okafor, LMT

  • Massage Therapist
  • Canoga Park, CA
National Provider Identifier
1043943525
Registry record updated Jul 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
80067 Issued in CA
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

Updated by the provider on Jul 25, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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.

Verify at the official NPI Registry.