Active NPI
Marissa Noel Rodriguez
- Massage Therapist
- Riverside, CA
National Provider Identifier
1083176895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11471
- Practice address
- 3860 Tyler St
Riverside, CA 92503-3431 - Phone
- (951) 523-8084
- NPI assigned
- Apr 1, 2019
- Sex
- Female
- 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 | 11471 | CA | Primary |
Addresses
Primary practice location
3860 Tyler St
Riverside, CA 92503-3431
Mailing address
10101 Zuni Pass
Riverside, CA 92503-5453
Phone (951) 522-1691
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1554076800000",
"number": "1083176895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10101 ZUNI PASS",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925035453",
"telephone_number": "951-522-1691"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3860 TYLER ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033431",
"telephone_number": "951-523-8084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "MARISSA",
"middle_name": "NOEL",
"name_prefix": "Mrs.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-04-01",
"last_updated": "2019-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "11471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.