Individual provider Active NPI

Ilana Mashke, LMT

  • Massage Therapist
  • Encino, CA
National Provider Identifier
1114415940
Registry record updated Apr 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
37820 Issued in CA
Practice address
17401 Ventura Blvd Ste B6
Encino, CA 91316-3860
Phone
(310) 713-1583
Fax
(310) 713-1583
NPI assigned
Apr 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 37820 CA Primary

Addresses

Primary practice location

17401 Ventura Blvd Ste B6
Encino, CA 91316-3860

Mailing address

9623 Cedros Ave
Panorama City, CA 91402-1005
Phone (310) 713-1583

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": "1524700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524700800000",
    "number": "1114415940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9623 CEDROS AVE",
            "city": "PANORAMA CITY",
            "state": "CA",
            "postal_code": "914021005",
            "telephone_number": "310-713-1583",
            "fax_number": "310-713-1583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17401 VENTURA BLVD STE B6",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163860",
            "telephone_number": "310-713-1583",
            "fax_number": "310-713-1583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASHKE",
        "first_name": "ILANA",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "37820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2018; 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.