Individual provider Active NPI

Lertchai Rattanamethanon, MASSAGE THERAPIST

  • Massage Therapist
  • Culver City, CA
National Provider Identifier
1265048235
Registry record updated Sep 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
81 Issued in CA
Practice address
5845 Doverwood Dr Unit 213
Culver City, CA 90230-7216
Phone
(310) 793-6277
NPI assigned
Sep 16, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2020

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 81 CA Primary

Addresses

Primary practice location

5845 Doverwood Dr Unit 213
Culver City, CA 90230-7216

Mailing address

5845 Doverwood Dr Unit 213
Culver City, CA 90230-7216
Phone (310) 793-6277

Other names 1

  • Kai Lechai Professional name

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

LicenseStateTypeSpecialty
81CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1600214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600214400000",
    "number": "1265048235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5845 DOVERWOOD DR UNIT 213",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307216",
            "telephone_number": "310-793-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5845 DOVERWOOD DR UNIT 213",
            "city": "CULVER CITY",
            "state": "CA",
            "postal_code": "902307216",
            "telephone_number": "310-793-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTANAMETHANON",
        "first_name": "LERTCHAI",
        "name_prefix": "Mr.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-16",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "81",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAI",
            "last_name": "LECHAI",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Culver City, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.