Active NPI
Christopher Thomas Revels
- Massage Therapist
- Temecula, CA
National Provider Identifier
1073332516
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 90251
- Practice address
- 27450 Ynez Rd
Temecula, CA 92591-4671 - Phone
- (951) 676-8640
- NPI assigned
- Oct 10, 2024
- Sex
- Male
- 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 | 90251 | CA | Primary |
Addresses
Primary practice location
27450 Ynez Rd
Temecula, CA 92591-4671
Mailing address
31426 Manlio CT
Menifee, CA 92584-4979
Phone (907) 952-5286
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 |
|---|---|---|---|
| 90251 | CA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tali Acupuncture Inc. | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728518400000",
"number": "1073332516",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31426 MANLIO CT",
"city": "MENIFEE",
"state": "CA",
"postal_code": "925844979",
"telephone_number": "907-952-5286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27450 YNEZ RD",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925914671",
"telephone_number": "951-676-8640"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REVELS",
"first_name": "CHRISTOPHER",
"middle_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-10",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "90251",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.