Individual provider Active NPI

Ruby Guadarama

  • Massage Therapist
  • Glendale, CA
National Provider Identifier
1174482384
Registry record updated Jan 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
79333 Issued in CA
Practice address
1120 N Pacific Ave Ste 4
Glendale, CA 91202-4347
Phone
(818) 245-6531
NPI assigned
Jan 21, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 21, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 79333 CA Primary

Addresses

Primary practice location

1120 N Pacific Ave Ste 4
Glendale, CA 91202-4347

Mailing address

419 N Mountain View Ave Apt 305
Los Angeles, CA 90026-4964
Phone (424) 450-5598

Other practice location 1

4368 Eagle Rock Blvd
Los Angeles, CA 90041-3211
Phone (626) 888-1112

Other practice location 2

2320 S Robertson Blvd Ste 102
Los Angeles, CA 90034-2053
Phone (323) 829-8560

Other practice location 3

419 N Mountain View Ave Apt 305
Los Angeles, CA 90026-4964
Phone (424) 450-5598

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

Practice roles

OrganizationSpecialtyStatusNew patients
X Backhand Inc Dba Serenity Luxe Massage Therapist 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1768953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768953600000",
    "number": "1174482384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 N MOUNTAIN VIEW AVE APT 305",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900264964",
            "telephone_number": "424-450-5598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 N PACIFIC AVE STE 4",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912024347",
            "telephone_number": "818-245-6531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4368 Eagle Rock Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900413211",
            "country_code": "US",
            "telephone_number": "626-888-1112",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2320 S Robertson Blvd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900342053",
            "country_code": "US",
            "telephone_number": "323-829-8560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "419 N Mountain View Ave Apt 305",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900264964",
            "country_code": "US",
            "telephone_number": "424-450-5598",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUADARAMA",
        "first_name": "RUBY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-01-21",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "79333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.