Desiree Camilia Scott

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

92512 Issued in CA

Practice address

1556 Fitzgerald Dr # 222
Pinole, CA 94564-2229

Phone

(415) 254-6647

NPI assigned

Jul 21, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1073743340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1556 FITZGERALD DR # 222",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642229",
            "telephone_number": "415-254-6647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1556 FITZGERALD DR # 222",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642229",
            "telephone_number": "415-254-6647"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "DESIREE",
        "middle_name": "CAMILIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-21",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "92512",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rotha Samok
• Celianna Esmeralda Sanchez
• Richard Marc Sankary, M.D.
• Ann Christine Schroeckenstein
• Amy Nicole Scott, PH.D. NCSP
• Lyca Carroll Sedaka, M.S, LMFT, LEP, NCSP
• Madhura Sen
• Armen Serebrakian, M.D.
• Serramonte Pulmonary, Asthma Sleep Clinic Inc.
• Amir Shababi, D.C.

• Massage Therapist in Pinole, CA
• Providers in Pinole, CA by specialty
• Massage Therapist in California

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

Verify at the official NPI Registry.