Individual provider Active NPI

Jose Angel Delapaz, LMT

  • Massage Therapist
  • Vancouver, WA
National Provider Identifier
1194382093
Registry record updated Jun 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
60951913 Issued in WA
Practice address
400 E Evergreen Blvd Ste 322a
Vancouver, WA 98660-3385
Phone
(360) 953-1350
NPI assigned
May 26, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 60951913 WA Primary

Addresses

Primary practice location

400 E Evergreen Blvd Ste 322a
Vancouver, WA 98660-3385

Mailing address

7110 NE 43Rd St Apt a
Vancouver, WA 98661-3651

Other practice location 1

1319 NE 134th St Ste 103
Vancouver, WA 98685-2718
Phone (360) 574-3141

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

LicenseStateTypeSpecialty
60951913WAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Angel de la Paz Massage Therapy Massage Therapist Past Accepting new patients
Cke Longevity LLC Massage Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1558828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561680000000",
    "number": "1194382093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 NE 43RD ST APT A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986613651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E EVERGREEN BLVD STE 322A",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986603385",
            "telephone_number": "360-953-1350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1319 NE 134th St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986852718",
            "country_code": "US",
            "telephone_number": "360-574-3141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAPAZ",
        "first_name": "JOSE",
        "middle_name": "ANGEL",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-26",
        "last_updated": "2019-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "60951913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.