Organization Active NPI

Pain Solutions Medical Massage, Inc.

  • Massage Therapist
  • Redlands, CA
National Provider Identifier
1144736174
Registry record updated Dec 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
PAIN SOLUTIONS MEDICAL MASSAGE, INC.
Practice address
823 Tri City Ctr
Redlands, CA 92374-2859
Phone
(909) 347-0330
NPI assigned
Dec 28, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2017

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

Authorized official

Name
Dante Lucas La Madrid
Title
Ceo
Phone
(909) 347-0330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

823 Tri City Ctr
Redlands, CA 92374-2859

Mailing address

823 Tri City Ctr
Redlands, CA 92374-2859
Phone (909) 347-0330

National Provider Directory

National Provider Directory

Locations

823 Tri City Ctr
Redlands, CA 92374
Phone (909) 347-0330

NPI Registry JSON

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

{
    "created_epoch": "1514419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514419200000",
    "number": "1144736174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "823 TRI CITY CTR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742859",
            "telephone_number": "909-347-0330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "823 TRI CITY CTR",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923742859",
            "telephone_number": "909-347-0330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAIN SOLUTIONS MEDICAL MASSAGE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-28",
        "last_updated": "2017-12-28",
        "status": "A",
        "authorized_official_last_name": "LA MADRID",
        "authorized_official_first_name": "DANTE",
        "authorized_official_middle_name": "LUCAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "909-347-0330"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2017; 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.