Active NPI
Jianglan Liu
- Massage Therapist
- Palo Alto, CA
National Provider Identifier
1043962699
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 61687
- Practice address
- 102 El Carmelo Ave
Palo Alto, CA 94306-2375 - Phone
- (909) 343-0208
- NPI assigned
- Jan 25, 2022
- Reactivated
- Nov 26, 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 | 61687 | CA | Primary |
Addresses
Primary practice location
102 El Carmelo Ave
Palo Alto, CA 94306-2375
Mailing address
102 El Carmelo Ave
Palo Alto, CA 94306-2375
Phone (909) 343-0208
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": "1643068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764115200000",
"number": "1043962699",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 EL CARMELO AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943062375",
"telephone_number": "909-343-0208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 EL CARMELO AVE",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943062375",
"telephone_number": "909-343-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIU",
"first_name": "JIANGLAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-25",
"last_updated": "2025-11-26",
"certification_date": "2023-05-17",
"deactivation_date": "2023-05-17",
"reactivation_date": "2025-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "61687",
"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 Nov 26, 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.