Active NPI
Lauren R Garcia, CMT
- Massage Therapist
- Redlands, CA
National Provider Identifier
1053088450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 86452
- Practice address
- 108 Orange St Ste 8
Redlands, CA 92373-4719 - Phone
- (407) 642-3117
- NPI assigned
- Aug 24, 2021
- Last updated
- Aug 24, 2021
- Sex
- Female
- 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 | 86452 | CA | Primary |
Addresses
Primary practice location
108 Orange St Ste 8
Redlands, CA 92373-4719
Mailing address
16583 Oakville St
Fontana, CA 92336-6118
Phone (626) 675-9634
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | SimplePractice |
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 |
|---|---|---|---|
| 86452 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629763200000",
"number": "1053088450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16583 OAKVILLE ST",
"city": "FONTANA",
"state": "CA",
"postal_code": "923366118",
"telephone_number": "626-675-9634"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 ORANGE ST STE 8",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923734719",
"telephone_number": "407-642-3117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARCIA",
"first_name": "LAUREN",
"middle_name": "R",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-24",
"last_updated": "2021-08-24",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "86452",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "SimplePractice",
"affiliation": "N",
"address_1": "108 Orange St Ste 8",
"city": "Redlands",
"state": "CA",
"country_code": "US",
"postal_code": "923734719",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Redlands, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.