Active NPI
Anjelica Escobedo, CMT
- Massage Therapist
- Simi Valley, CA
National Provider Identifier
1184052094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 816
- Practice address
- 1633 Erringer Rd
Suite 202
Simi Valley, CA 93065-3583 - Phone
- (805) 206-6084
- NPI assigned
- Oct 31, 2013
- 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 | 816 | CA | Primary |
Addresses
Primary practice location
1633 Erringer Rd
Suite 202
Simi Valley, CA 93065-3583
Mailing address
1633 Erringer Rd
Suite 202
Simi Valley, CA 93065-3583
Phone (805) 206-6084
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 |
|---|---|---|---|
| 816 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410998400000",
"number": "1184052094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1633 ERRINGER RD",
"address_2": "SUITE 202",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930653583",
"telephone_number": "805-206-6084"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1633 ERRINGER RD",
"address_2": "SUITE 202",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930653583",
"telephone_number": "805-206-6084"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ESCOBEDO",
"first_name": "ANJELICA",
"name_prefix": "Mrs.",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-31",
"last_updated": "2014-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.