Active NPI
Dinair Sisson
- Massage Therapist
- San Francisco, CA
National Provider Identifier
1154665149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 39436
- Practice address
- 2660 Gough St
Suite 204
San Francisco, CA 94123-4401 - Phone
- (415) 240-1642
- NPI assigned
- Nov 15, 2012
- 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 | 39436 | CA | Primary |
Addresses
Primary practice location
2660 Gough St
Suite 204
San Francisco, CA 94123-4401
Mailing address
2342 Fulton St
San Francisco, CA 94118-4129
Phone (415) 240-1642
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CERT# 3943 | Other | CA | CALIFORNIA MASSAGE THERAPY COUNCIL |
| MP#: 02301 | Other | CA | SAN FRANCISCO DEPT OF PUBLIC HEALTH, ENVIRONMENTAL HEALTH SECTIONS |
Other names 1
- Dinair Farias
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 |
|---|---|---|---|
| 39436 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352937600000",
"number": "1154665149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2342 FULTON ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941184129",
"telephone_number": "415-240-1642"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 GOUGH ST",
"address_2": "SUITE 204",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941234401",
"telephone_number": "415-240-1642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SISSON",
"first_name": "DINAIR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-15",
"last_updated": "2012-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "39436",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
"identifier": "CERT# 3943",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAN FRANCISCO DEPT OF PUBLIC HEALTH, ENVIRONMENTAL HEALTH SECTIONS",
"identifier": "MP#: 02301",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DINAIR",
"last_name": "FARIAS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.