Greg Paez Jr

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

GREG PAEZ JR

Doing business as

Stretch 360

Practice address

334 Shaw Ave Ste 115
Clovis, CA 93612-3839

Phone

(559) 472-3851

NPI assigned

Aug 1, 2019

Last updated

Aug 1, 2019By 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

Mr. Greg Paez Jr.

Title

Owner

Phone

(559) 472-3851

Specialties & licenses 1

Addresses

Other names 1

• Stretch 360 Doing business as

Locations

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.

• Andrea Navarro, CMT

  • Massage Therapist
  • Clovis, CA
  • NPI 1174352652
  NPD

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

{
    "created_epoch": "1564617600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564617600000",
    "number": "1114571619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "334 SHAW AVE STE 115",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123839",
            "telephone_number": "559-472-3851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "334 SHAW AVE STE 115",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936123839",
            "telephone_number": "559-472-3851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREG PAEZ JR",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-01",
        "last_updated": "2019-08-01",
        "status": "A",
        "authorized_official_last_name": "PAEZ",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "559-472-3851",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stretch 360",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Massage Therapist in Clovis, CA
• Providers in Clovis, CA by specialty
• Massage Therapist in California

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

Verify at the official NPI Registry.