Active NPI
Kristina S Leo-Castillo, LMT
- Massage Therapist
- San Marcos, CA
National Provider Identifier
1235753120
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33088
- Practice address
- 1582 W San Marcos Blvd Ste 105
San Marcos, CA 92078-4081 - Phone
- (760) 443-0398
- NPI assigned
- Jun 5, 2020
- Sex
- Female
- 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 | 33088 | CA | Primary |
Addresses
Primary practice location
1582 W San Marcos Blvd Ste 105
San Marcos, CA 92078-4081
Mailing address
35008 Pala Temecula Rd
PMB 156
Pala, CA 92059
Phone (760) 443-0398
Other names 1
- Kristina Nyemaster
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 |
|---|---|---|---|
| 33088 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1591315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591315200000",
"number": "1235753120",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35008 PALA TEMECULA RD",
"address_2": "PMB 156",
"city": "PALA",
"state": "CA",
"postal_code": "92059",
"telephone_number": "760-443-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1582 W SAN MARCOS BLVD STE 105",
"city": "SAN MARCOS",
"state": "CA",
"postal_code": "920784081",
"telephone_number": "760-443-0398"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEO-CASTILLO",
"first_name": "KRISTINA",
"middle_name": "S",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-06-05",
"last_updated": "2020-06-05",
"certification_date": "2020-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "33088",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTINA",
"last_name": "NYEMASTER",
"credential": "LMT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in San Marcos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.