Active NPI
Matthew Mun Tay, CMT
- Massage Therapist
- San Diego, CA
National Provider Identifier
1063298867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 68916
- Practice address
- 4455 Twain Ave Ste H1
San Diego, CA 92120-3464 - Phone
- (619) 693-8559
- NPI assigned
- Sep 6, 2023
- Sex
- Male
- 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 | 68916 | CA | Primary |
Addresses
Primary practice location
4455 Twain Ave Ste H1
San Diego, CA 92120-3464
Mailing address
7356 Parkway Dr Apt 303
La Mesa, CA 91942-1842
Phone (626) 274-1310
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| En Acupuncture & Herbology, Inc | Massage Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1693958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693958400000",
"number": "1063298867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7356 PARKWAY DR APT 303",
"city": "LA MESA",
"state": "CA",
"postal_code": "919421842",
"telephone_number": "626-274-1310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4455 TWAIN AVE STE H1",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921203464",
"telephone_number": "619-693-8559"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAY",
"first_name": "MATTHEW",
"middle_name": "MUN",
"name_prefix": "Dr.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-09-06",
"last_updated": "2023-09-06",
"certification_date": "2023-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "68916",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.