Active NPI
Jiana Quicho
- Massage Therapist
- San Diego, CA
National Provider Identifier
1194453613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 78942
- Practice address
- 3959 Ruffin Rd Ste J
San Diego, CA 92123-1830 - Phone
- (858) 279-5570
- NPI assigned
- Aug 11, 2022
- 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 | 78942 | CA | Primary |
Addresses
Primary practice location
3959 Ruffin Rd Ste J
San Diego, CA 92123-1830
Mailing address
764 River Rock Rd
Chula Vista, CA 91914-2429
Phone (619) 254-9385
Other practice location 1
8127 La Mesa Blvd
LA Mesa, CA 91942-6490
Phone (619) 254-9385
Other practice location 2
8491 Fletcher Pkwy
LA Mesa, CA 91942-3005
Phone (619) 772-3710
Other practice location 3
3450 Bonita Rd
Chula Vista, CA 91910-3248
Phone (619) 425-1084
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733961600000",
"number": "1194453613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "764 RIVER ROCK RD",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919142429",
"telephone_number": "619-254-9385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3959 RUFFIN RD STE J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231830",
"telephone_number": "858-279-5570"
}
],
"practiceLocations": [
{
"address_1": "8127 La Mesa Blvd",
"address_purpose": "LOCATION",
"city": "LA Mesa",
"state": "CA",
"postal_code": "919426490",
"country_code": "US",
"telephone_number": "619-254-9385",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8491 Fletcher Pkwy",
"address_purpose": "LOCATION",
"city": "LA Mesa",
"state": "CA",
"postal_code": "919423005",
"country_code": "US",
"telephone_number": "619-772-3710",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3450 Bonita Rd",
"address_purpose": "LOCATION",
"city": "Chula Vista",
"state": "CA",
"postal_code": "919103248",
"country_code": "US",
"telephone_number": "619-425-1084",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "QUICHO",
"first_name": "JIANA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-11",
"last_updated": "2024-12-12",
"certification_date": "2024-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "78942",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.