Active NPI
Daimon Rhodes
- Massage Therapist
- Stockton, CA
National Provider Identifier
1194497255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 40623
- Practice address
- 1919 Quail Lakes Dr Apt 29
Stockton, CA 95207-9109 - Phone
- (925) 752-4250
- NPI assigned
- Sep 28, 2021
- Sex
- Male
- Sole proprietor
- No
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 | 40623 | CA | Primary |
Addresses
Primary practice location
1919 Quail Lakes Dr Apt 29
Stockton, CA 95207-9109
Mailing address
1919 Quail Lakes Dr Apt 29
Stockton, CA 95207-9109
Phone (925) 752-4250
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
| License | State | Type | Specialty |
|---|---|---|---|
| 40623 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632787200000",
"number": "1194497255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1919 QUAIL LAKES DR APT 29",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952079109",
"telephone_number": "925-752-4250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 QUAIL LAKES DR APT 29",
"city": "STOCKTON",
"state": "CA",
"postal_code": "952079109",
"telephone_number": "925-752-4250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RHODES",
"first_name": "DAIMON",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-09-28",
"last_updated": "2021-09-28",
"certification_date": "2021-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "40623",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.