Active NPI
Lacey Elder, LMT
- Massage Therapist
- Panorama City, CA
National Provider Identifier
1174351852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 78673
- Practice address
- 8435 Tyrone Ave
Panorama City, CA 91402-3750 - Phone
- (626) 228-6235
- NPI assigned
- Jul 23, 2024
- 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 | 78673 | CA | Primary |
Addresses
Primary practice location
8435 Tyrone Ave
Panorama City, CA 91402-3750
Mailing address
8435 Tyrone Ave
Panorama City, CA 91402-3750
Phone (626) 228-6235
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 |
|---|---|---|---|
| 78673 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721692800000",
"number": "1174351852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8435 TYRONE AVE",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914023750",
"telephone_number": "626-228-6235"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8435 TYRONE AVE",
"city": "PANORAMA CITY",
"state": "CA",
"postal_code": "914023750",
"telephone_number": "626-228-6235"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELDER",
"first_name": "LACEY",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-23",
"last_updated": "2024-07-23",
"certification_date": "2024-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "78673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Panorama City, CA
- El Proyecto del Barrio, Inc. (El Proyecto del Barrio,Inc./Esperanza Clinic)
- El Proyecto del Barrio, Inc.
- Jose M Elacion, M.D.
- Elad Sinay D.C., a Professional Chiropractic Corporation
- Elan Home Health, Inc.
- Ma Vilma Cruz Elder
- Element Home Health Inc
- Elevate ABA Center
- Elevate Home Health, Inc.
- Elitmed Transit LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.