Active NPI
Kelcey Martin
- Massage Therapist
- Mission Viejo, CA
National Provider Identifier
1124959879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 90662
- Practice address
- 27401 Los Altos Ste 300
Mission Viejo, CA 92691-7608 - Phone
- (406) 217-8178
- NPI assigned
- May 28, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 90662 | CA | Primary |
Addresses
Primary practice location
27401 Los Altos Ste 300
Mission Viejo, CA 92691-7608
Mailing address
1100 Calle del Cerro Apt 244
San Clemente, CA 92672-9326
Phone (406) 217-8178
Other names 1
- Kam Martin
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 90662 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779926400000",
"number": "1124959879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 CALLE DEL CERRO APT 244",
"city": "SAN CLEMENTE",
"state": "CA",
"postal_code": "926729326",
"telephone_number": "406-217-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27401 LOS ALTOS STE 300",
"city": "MISSION VIEJO",
"state": "CA",
"postal_code": "926917608",
"telephone_number": "406-217-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTIN",
"first_name": "KELCEY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "90662",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KAM",
"last_name": "MARTIN",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Mission Viejo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.