Individual provider Active NPI

Henry G Rivera Guzman Sr., CMT

  • Massage Therapist
  • West Hollywood, CA
National Provider Identifier
1063216950
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
97266 Issued in CA
Practice address
1200 Alta Loma Rd
West Hollywood, CA 90069-2404
Phone
(310) 927-3097
NPI assigned
Apr 1, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 97266 CA Primary

Addresses

Primary practice location

1200 Alta Loma Rd
West Hollywood, CA 90069-2404

Mailing address

909 Westbourne Dr Apt 105
West Hollywood, CA 90069-4125
Phone (310) 270-2631

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

LicenseStateTypeSpecialty
97266CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1743465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1063216950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 WESTBOURNE DR APT 105",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900694125",
            "telephone_number": "310-270-2631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 ALTA LOMA RD",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900692404",
            "telephone_number": "310-927-3097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA GUZMAN",
        "first_name": "HENRY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-01",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "97266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.