Active NPI
Gabrielle L Hildebrand, CMT CERT# 73094
- Massage Therapist
- San Bruno, CA
National Provider Identifier
1083413660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 73094
- Practice address
- 881 San Bruno Ave W
San Bruno, CA 94066-3413 - Phone
- (650) 476-6299
- NPI assigned
- Mar 7, 2025
- 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 | 73094 | CA | Primary |
Addresses
Primary practice location
881 San Bruno Ave W
San Bruno, CA 94066-3413
Mailing address
1382 34TH Ave
San Francisco, CA 94122-1309
Phone (415) 216-7612
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 |
|---|---|---|---|
| 73094 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741305600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741305600000",
"number": "1083413660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1382 34TH AVE",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941221309",
"telephone_number": "415-216-7612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "881 SAN BRUNO AVE W",
"city": "SAN BRUNO",
"state": "CA",
"postal_code": "940663413",
"telephone_number": "650-476-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILDEBRAND",
"first_name": "GABRIELLE",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "CMT CERT# 73094",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-03-07",
"last_updated": "2025-03-07",
"certification_date": "2025-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "73094",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bruno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 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.