Organization Active NPI

Libra'S Massage & Holistic

  • Preferred Provider Organization
  • Poway, CA
National Provider Identifier
1124426622
Registry record updated Dec 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
CAMTC 41139 Issued in CA
Legal business name
LIBRA'S MASSAGE & HOLISTIC
Practice address
13732 Celestial Rd
Poway, CA 92064-3627
Phone
(818) 642-9656
NPI assigned
Dec 15, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2014

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

Authorized official

Name
Miss Libra S HarrisonNPI 1194123851
Title
Massage Therapist/Owner
Phone
(818) 642-9656

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X CAMTC 41139 CA Primary

Addresses

Primary practice location

13732 Celestial Rd
Poway, CA 92064-3627

Mailing address

13732 Celestial Rd
Poway, CA 92064-3627
Phone (818) 642-9656

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1418601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418601600000",
    "number": "1124426622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13732 CELESTIAL RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643627",
            "telephone_number": "818-642-9656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13732 CELESTIAL RD",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920643627",
            "telephone_number": "818-642-9656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIBRA'S MASSAGE & HOLISTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-15",
        "last_updated": "2014-12-15",
        "status": "A",
        "authorized_official_last_name": "HARRISON",
        "authorized_official_first_name": "LIBRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "MASSAGE THERAPIST/OWNER",
        "authorized_official_telephone_number": "818-642-9656",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "CA",
            "license": "CAMTC 41139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poway, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2014; 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.