Individual provider Active NPI

Miguel Angel Valentino Quiroz III, DACM, CMQP, LMT

  • Massage Therapist
  • San Francisco, CA
National Provider Identifier
1215765292
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
71008 Issued in CA
Practice address
15A Henry St
San Francisco, CA 94114-1214
Phone
(415) 408-8800
NPI assigned
Jul 23, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-30051 AZ
Massage Therapist 225700000X 71008 CA Primary

Addresses

Primary practice location

15A Henry St
San Francisco, CA 94114-1214

Mailing address

1389 Jefferson St Unit D208
Oakland, CA 94612-1854
Phone (415) 408-8800

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
MT-30051AZMDMassage Therapist
71008CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1721692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1215765292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1389 JEFFERSON ST UNIT D208",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946121854",
            "telephone_number": "415-408-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15A HENRY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941141214",
            "telephone_number": "415-408-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUIROZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL VALENTINO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "DACM, CMQP, LMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-23",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-30051",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "71008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.