Sams Nataresa

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

36891 Cook St Ste 7
Palm Desert, CA 92211-6110

Phone

(760) 779-8570

Fax

(760) 779-8570

NPI assigned

Mar 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Sepin Sebastianus Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Holistic Touch

  • Massage Therapist
  • Palm Desert, CA
  • NPI 1972022184
  NPD (past) Authorized official

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

{
    "created_epoch": "1490313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490572800000",
    "number": "1194256750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36891 COOK ST STE 7",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116110",
            "telephone_number": "760-779-8570",
            "fax_number": "760-779-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36891 COOK ST STE 7",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922116110",
            "telephone_number": "760-779-8570",
            "fax_number": "760-779-8570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATARESA",
        "first_name": "SAMS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-24",
        "last_updated": "2017-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SEPIN",
            "last_name": "SEBASTIANUS",
            "credential": "CMT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Massage Therapist in Palm Desert, CA
• Providers in Palm Desert, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2017; 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.