Active NPI
Kathryn Marie Kaufman, CNMT
- Massage Therapist
- Costa Mesa, CA
National Provider Identifier
1245861061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 59600
- Practice address
- 2651 Irvine Ave Ste 122
Costa Mesa, CA 92627-6645 - Phone
- (562) 972-7800
- NPI assigned
- Jan 30, 2020
- Last updated
- Jan 30, 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 | 59600 | CA | Primary |
Addresses
Primary practice location
2651 Irvine Ave Ste 122
Costa Mesa, CA 92627-6645
Mailing address
555 Paularino Ave Apt R208
Costa Mesa, CA 92626-3268
Phone (562) 972-7800
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | balancelifekj42@gmail.com | Other |
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 |
|---|---|---|---|
| 59600 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580342400000",
"number": "1245861061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 PAULARINO AVE APT R208",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926263268",
"telephone_number": "562-972-7800"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2651 IRVINE AVE STE 122",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926276645",
"telephone_number": "562-972-7800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUFMAN",
"first_name": "KATHRYN",
"middle_name": "MARIE",
"credential": "CNMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-01-30",
"last_updated": "2020-01-30",
"certification_date": "2020-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "59600",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "balancelifekj42@gmail.com",
"affiliation": "N",
"endpointDescription": "Email",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "Email",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Email",
"address_1": "2651 Irvine Ave Ste 122",
"city": "Costa Mesa",
"state": "CA",
"country_code": "US",
"postal_code": "926276645",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.