Massage Grottosf LLC

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

MASSAGE GROTTOSF LLC

Doing business as

Massage Grotto SF

Practice address

4333 California St
San Francisco, CA 94118-1376

Phone

(415) 234-3236

NPI assigned

Dec 20, 2022

Organization subpart

No

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

Authorized official

Name

Justin Avery, CMT

Title

Owner; Licensed Massage Therapist

Phone

(808) 937-4342

Specialties & licenses 1

Addresses

Other names 1

• Massage Grotto SF Doing business as

Electronic endpoints 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1063124196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 CHURCH ST APT 307",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941142052",
            "telephone_number": "808-937-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4333 CALIFORNIA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941181376",
            "telephone_number": "415-234-3236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASSAGE GROTTOSF LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A",
        "authorized_official_last_name": "AVERY",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_title_or_position": "OWNER; LICENSED MASSAGE THERAPIST",
        "authorized_official_telephone_number": "808-937-4342",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@massagegrottosf.com",
            "affiliation": "N",
            "endpointDescription": "secure email server",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4333 California St",
            "city": "San Francisco",
            "state": "CA",
            "country_code": "US",
            "postal_code": "941181376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Massage Grotto SF",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Martin Myron Mass, M.D.
• Shayna Lynae Massa, POSTPARTUM DOULA
• Stephen Mark Massa, M. D.
• Trace Richard Massa
• Amanda Hanhan Massad, MD
• Lance Philip Masserant
• Christa Massie
• Lauren Mason Massie, RDN, LD, CLC
• Teresa Lynn Dillen Massillon, IBCLC
• Samuel Massion

• Massage Therapist in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.