Organization Active NPI

Balancenter Wellness Inc

  • Massage Therapist
  • Half Moon Bay, CA
National Provider Identifier
1225635386
Registry record updated Oct 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
BALANCENTER WELLNESS INC
Practice address
210 Main St FL 2
Half Moon Bay, CA 94019-1722
Phone
(650) 333-1433
NPI assigned
Oct 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2020

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

Authorized official

Name
Susan Molina
Title
Operations Manager
Phone
(949) 836-7698

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

210 Main St FL 2
Half Moon Bay, CA 94019-1722

Mailing address

3225 McLeod Dr Ste 100
Las Vegas, NV 89121-2257

National Provider Directory

National Provider Directory

Locations

210 Main St
Fl 2
Half Moon Bay, CA 94019
Phone (650) 333-1433

NPI Registry JSON

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

{
    "created_epoch": "1601510400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1225635386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3225 MCLEOD DR STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891212257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN ST FL 2",
            "city": "HALF MOON BAY",
            "state": "CA",
            "postal_code": "940191722",
            "telephone_number": "650-333-1433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCENTER WELLNESS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-01",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "949-836-7698"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Half Moon Bay, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.