Active NPI
Kevin Stern
- Massage Therapist
- Fair Oaks, CA
National Provider Identifier
1225525157
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 60895
- Practice address
- 8146 Greenback LN Ste 105
Fair Oaks, CA 95628-2539 - Phone
- (916) 878-6442
- NPI assigned
- Apr 17, 2018
- Sex
- Male
- 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 | 60895 | CA | Primary |
Addresses
Primary practice location
8146 Greenback LN Ste 105
Fair Oaks, CA 95628-2539
Mailing address
8146 Greenback LN Ste 105
Fair Oaks, CA 95628-2539
Phone (916) 878-6442
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": "1523923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523923200000",
"number": "1225525157",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8146 GREENBACK LN STE 105",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956282539",
"telephone_number": "916-878-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8146 GREENBACK LN STE 105",
"city": "FAIR OAKS",
"state": "CA",
"postal_code": "956282539",
"telephone_number": "916-878-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "KEVIN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-04-17",
"last_updated": "2018-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "60895",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fair Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.