Spacienda

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

SPACIENDA

Practice address

5222 Balboa Ave Ste 43
San Diego, CA 92117-6956

Phone

(619) 389-2047

NPI assigned

Aug 2, 2023

Organization subpart

No

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

Authorized official

Name

Rebekah AbrahimNPI 1861119653

Title

Owner

Phone

(619) 389-2047

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebekah Ann Abrahim

  • Massage Therapist
  • San Diego, CA
  • NPI 1861119653
  NPD Authorized official

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690934400000",
    "number": "1184306805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 THERMAL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921541924",
            "telephone_number": "619-261-3434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5222 BALBOA AVE STE 43",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921176956",
            "telephone_number": "619-389-2047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPACIENDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A",
        "authorized_official_last_name": "ABRAHIM",
        "authorized_official_first_name": "REBEKAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-389-2047"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M. Sowvlen, PTA
• Rebecca Lee Sox
• Jesse Sozanski, M.D.
• Patricia Spacciapolli, PT
• Marina Spacek
• Laurel Spack
• Brenna Spader
• Luke Anthony Spady
• Emilia Isabel Spagnuolo
• Kimberly Michele Spahn, M.D.

• Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.