Praphaiphan(Maria) Wongsuwan-Xenophontos, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

66452 Issued in CA

Practice address

1735 Spruce St Ste E
Riverside, CA 92507-2352

Phone

(627) 421-8875

NPI assigned

Oct 9, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Maria Wongsuwan Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Redlands Spine and Sport

  • Sports Physician Chiropractor
  • Redlands, CA
  • NPI 1376812362
  NPD

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775952000000",
    "number": "1124847892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1303 E CENTRAL AVE UNIT B",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744010",
            "telephone_number": "626-421-8875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 SPRUCE ST STE E",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925072352",
            "telephone_number": "627-421-8875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WONGSUWAN-XENOPHONTOS",
        "first_name": "PRAPHAIPHAN(MARIA)",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-10-09",
        "last_updated": "2026-04-12",
        "certification_date": "2026-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "66452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "WONGSUWAN",
            "credential": "MASSAGE THERAPIST",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Melissa Wong, PHARM D
• Melissa Wong
• Nathan Wong
• Nathaniel Wong
• Peter Wong, MD
• Holly Carissa Wood
• Lora Ann Wood
• Samantha Michelle Wood, MSN, CRNA
• Ashley Lauren Woodcock, NP-C
• Woodcrest Medical Center, Inc.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2026; 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.