2Gorjis Integrated Health & Wellness

Primary specialty

Point of ServiceTaxonomy code 305S00000X

License

MASSAGE THERAPIST Issued in CA

Legal business name

2GORJIS INTEGRATED HEALTH & WELLNESS

Practice address

81 Gregory LN Ste 210
Pleasant Hill, CA 94523-4922

Phone

(925) 932-8602

NPI assigned

Sep 21, 2009

Last updated

Jul 10, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kim M Evans, MESSAGE THERAPISTNPI 1114542883

Title

Owner

Phone

(925) 689-8602

Specialties & licenses 4

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kim Evans, CMT, LE, MA

  • Nutrition Education Nutritionist
  • Pleasant Hill, CA
  • NPI 1114542883

  Nutrition, Education

  NPD (past) Authorized official

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

{
    "created_epoch": "1253491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594339200000",
    "number": "1104150358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4403",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945960403",
            "telephone_number": "925-689-8602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 GREGORY LN STE 210",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945234922",
            "telephone_number": "925-932-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "2GORJIS INTEGRATED HEALTH & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-21",
        "last_updated": "2020-07-10",
        "certification_date": "2020-07-10",
        "status": "A",
        "authorized_official_last_name": "EVANS",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-689-8602",
        "authorized_official_credential": "MESSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "133NN1002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nutritionist, Nutrition, Education",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dermatology",
            "state": "CA",
            "license": "Z21679",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "43135",
            "primary": false
        },
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "MASSAGE THERAPIST",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Point of Service in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Point of Service in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2020; 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.