Active NPI
Sulan Ding
- Massage Therapist
- Corona, CA
National Provider Identifier
1154038743
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 91941
- Practice address
- 720 Magnolia Ave Ste B3
Corona, CA 92879-3119 - Phone
- (951) 371-8888
- Fax
- (951) 666-7077
- NPI assigned
- Nov 2, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | 91941 | CA | Primary |
Addresses
Primary practice location
720 Magnolia Ave Ste B3
Corona, CA 92879-3119
Mailing address
2941 Flagstaff Dr
Jurupa Valley, CA 92509-1423
Phone (626) 554-0556
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 |
|---|---|---|---|
| 91941 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All Wellness Now | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Acupuncturist
- Corona, CA
- NPI 1962792549
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667347200000",
"number": "1154038743",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2941 FLAGSTAFF DR",
"city": "JURUPA VALLEY",
"state": "CA",
"postal_code": "925091423",
"telephone_number": "626-554-0556"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 MAGNOLIA AVE STE B3",
"city": "CORONA",
"state": "CA",
"postal_code": "928793119",
"telephone_number": "951-371-8888",
"fax_number": "951-666-7077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DING",
"first_name": "SULAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2022-11-02",
"certification_date": "2022-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "91941",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Corona, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.