Active NPI
Miguel Adrian Soriano-Fernandez, LMT
- Massage Therapist
- Concord, CA
National Provider Identifier
1093523409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 96272
- Practice address
- 1333 Willow Pass Rd Ste 110
Concord, CA 94520-5225 - Phone
- (925) 892-4639
- NPI assigned
- Dec 19, 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 | 96272 | CA | Primary |
Addresses
Primary practice location
1333 Willow Pass Rd Ste 110
Concord, CA 94520-5225
Mailing address
25529 Gold Ridge Dr
Castro Valley, CA 94552-5451
Phone (702) 493-8078
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 |
|---|---|---|---|
| 96272 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1093523409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25529 GOLD RIDGE DR",
"city": "CASTRO VALLEY",
"state": "CA",
"postal_code": "945525451",
"telephone_number": "702-493-8078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1333 WILLOW PASS RD STE 110",
"city": "CONCORD",
"state": "CA",
"postal_code": "945205225",
"telephone_number": "925-892-4639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORIANO-FERNANDEZ",
"first_name": "MIGUEL",
"middle_name": "ADRIAN",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-12-19",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "96272",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Concord, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 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.