Organization Active NPI

Serene Therapeutics LLC

  • Massage Therapist
  • Palm Desert, CA
National Provider Identifier
1194285163
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SERENE THERAPEUTICS LLC
Practice address
72405 Parkview Dr
Palm Desert, CA 92260-2716
Phone
(760) 695-4202
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Ms. Maribel DiazNPI 1700337185
Title
Medical Massage Practitioner
Phone
(760) 695-0420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

72405 Parkview Dr
Palm Desert, CA 92260-2716

Mailing address

82683 Cody Dr
Indio, CA 92203-3157
Phone (760) 984-9441

Other names 1

  • Serene Therapeutics LLC Former legal business name

National Provider Directory

National Provider Directory

Locations

72405 Parkview Dr
Palm Desert, CA 92260
Phone (760) 695-4202

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1194285163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82683 CODY DR",
            "city": "INDIO",
            "state": "CA",
            "postal_code": "922033157",
            "telephone_number": "760-984-9441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72405 PARKVIEW DR",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922602716",
            "telephone_number": "760-695-4202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERENE THERAPEUTICS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "MARIBEL",
        "authorized_official_title_or_position": "MEDICAL MASSAGE PRACTITIONER",
        "authorized_official_telephone_number": "760-695-0420",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Serene Therapeutics LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.