Active NPI
Shawn Delgado-Prusmack
- Massage Therapist
- Mountain View, CA
National Provider Identifier
1164300588
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 79471
- Practice address
- 2660 Solace PL Ste B
Mountain View, CA 94040-4337 - Phone
- (650) 564-9002
- NPI assigned
- Aug 25, 2025
- 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 | 79471 | CA | Primary |
Addresses
Primary practice location
2660 Solace PL Ste B
Mountain View, CA 94040-4337
Mailing address
870 E El Camino Real Apt 69
Mountain View, CA 94040-2826
Phone (650) 209-0273
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 |
|---|---|---|---|
| 79471 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1164300588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "870 E EL CAMINO REAL APT 69",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940402826",
"telephone_number": "650-209-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2660 SOLACE PL STE B",
"city": "MOUNTAIN VIEW",
"state": "CA",
"postal_code": "940404337",
"telephone_number": "650-564-9002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DELGADO-PRUSMACK",
"first_name": "SHAWN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "79471",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mountain View, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.