Rossana Diaz, LE, CMT, MMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

88703 Issued in CA

Practice address

222 N Mountain Ave Ste 210a
Upland, CA 91786-5714

Phone

(833) 473-2233

NPI assigned

Jul 29, 2022

Last updated

Jul 29, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Bodyworks of California, Inc.

  • Massage Therapist
  • Upland, CA
  • NPI 1750019865
  NPD Authorized official

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

{
    "created_epoch": "1659052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1205562402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1295 E 9TH ST APT 10",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917868108",
            "telephone_number": "626-905-6330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE STE 210A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865714",
            "telephone_number": "833-473-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ",
        "first_name": "ROSSANA",
        "credential": "LE, CMT, MMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-29",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "88703",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Devries
• DFT Healthcare Group Inc. (Goldberg Hospice Care, Inc.)
• Nachiket Dharmadhikari, LCSW
• Christina Irene Diaz Ickis
• Alexandra Bravo Diaz
• Violeta Jazmin Diaz
• Yoseline Diaz, BSW
• Louis Maximilian Dibernardo, MD
• Taylor Digby, LM, CPM
• Edward Digiamarino, M.D.

• Massage Therapist in Upland, CA
• Providers in Upland, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2022; 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.