Active NPI
Christopher Michael Brenner, LMT
- Massage Therapist
- San Diego, CA
National Provider Identifier
1184045460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 26892
- Practice address
- 1792 W Washington St
San Diego, CA 92103-3766 - Phone
- (858) 444-5835
- NPI assigned
- Jan 3, 2014
- Sex
- Male
- 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 | 26892 | CA | Primary |
Addresses
Primary practice location
1792 W Washington St
San Diego, CA 92103-3766
Mailing address
5116 Narragansett Ave
Apt 36
San Diego, CA 92107-3049
Phone (858) 444-5835
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 |
|---|---|---|---|
| 26892 | CA | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1388707200000",
"number": "1184045460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5116 NARRAGANSETT AVE",
"address_2": "APT 36",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921073049",
"telephone_number": "858-444-5835"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1792 W WASHINGTON ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033766",
"telephone_number": "858-444-5835"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRENNER",
"first_name": "CHRISTOPHER",
"middle_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-01-03",
"last_updated": "2014-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "26892",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.