Active NPI
Melissa Ann Payne
- Massage Therapist
- San Bernardino, CA
National Provider Identifier
1164716007
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 0561780
- Practice address
- 123 N E St
San Bernardino, CA 92401-1921 - Phone
- (909) 884-6677
- Fax
- (909) 884-9496
- NPI assigned
- Jun 8, 2011
- 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 | 0561780 | CA | Primary |
Addresses
Primary practice location
123 N E St
San Bernardino, CA 92401-1921
Mailing address
331 Cajon St
Apt B
Redlands, CA 92373-5964
Phone (909) 496-2978
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 |
|---|---|---|---|
| 0561780 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307491200000",
"number": "1164716007",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "331 CAJON ST",
"address_2": "APT B",
"city": "REDLANDS",
"state": "CA",
"postal_code": "923735964",
"telephone_number": "909-496-2978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "123 N E ST",
"city": "SAN BERNARDINO",
"state": "CA",
"postal_code": "924011921",
"telephone_number": "909-884-6677",
"fax_number": "909-884-9496"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "MELISSA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-08",
"last_updated": "2011-06-08",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "0561780",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Bernardino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.