Individual provider Active NPI

Mervin Enrique Noguera

  • Massage Therapist
  • City of Industry, CA
National Provider Identifier
1255199824
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
94638 Issued in CA
Practice address
18575 Gale Ave Ste 265
City of Industry, CA 91748-1384
Phone
(626) 532-5762
NPI assigned
Mar 8, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 94638 CA Primary

Addresses

Primary practice location

18575 Gale Ave Ste 265
City of Industry, CA 91748-1384

Mailing address

18575 Gale Ave Ste 265
City of Industry, CA 91748-1384
Phone (626) 532-5762

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": "1709856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1255199824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE STE 265",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481384",
            "telephone_number": "626-532-5762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18575 GALE AVE STE 265",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917481384",
            "telephone_number": "626-532-5762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOGUERA",
        "first_name": "MERVIN",
        "middle_name": "ENRIQUE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-08",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "94638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in City of Industry, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; 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.