Organization Active NPI

Lemon Grove Yoga and Massage LLC

  • Massage Therapist
  • San Diego, CA
National Provider Identifier
1265152623
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
LEMON GROVE YOGA AND MASSAGE LLC
Practice address
2204 Garnet Ave Ste 202
San Diego, CA 92109-3771
Phone
(619) 786-3033
NPI assigned
Aug 29, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Authorized official

Name
Irene Radley, CMT, CMLDTNPI 1831809367
Title
Ceo
Phone
(858) 444-2194

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2204 Garnet Ave Ste 202
San Diego, CA 92109-3771

Mailing address

1605 Colfax Dr
Lemon Grove, CA 91945-4419
Phone (858) 444-2194

Other practice location 1

7733 Palm St Ste 211
Lemon Grove, CA 91945-2968
Phone (858) 444-2194

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address connect@lemongroveyogamassage.com Direct

National Provider Directory

National Provider Directory

Locations

7733 Palm St
Ste 211
Lemon Grove, CA 91945
Phone (858) 444-2194

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1661731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661731200000",
    "number": "1265152623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 COLFAX DR",
            "city": "LEMON GROVE",
            "state": "CA",
            "postal_code": "919454419",
            "telephone_number": "858-444-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 GARNET AVE STE 202",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921093771",
            "telephone_number": "619-786-3033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7733 Palm St Ste 211",
            "address_purpose": "LOCATION",
            "city": "Lemon Grove",
            "state": "CA",
            "postal_code": "919452968",
            "country_code": "US",
            "telephone_number": "858-444-2194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LEMON GROVE YOGA AND MASSAGE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-29",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-28",
        "status": "A",
        "authorized_official_last_name": "RADLEY",
        "authorized_official_first_name": "IRENE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "858-444-2194",
        "authorized_official_credential": "CMT, CMLDT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "connect@lemongroveyogamassage.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Message",
            "address_1": "7733 Palm St Ste 211",
            "city": "Lemon Grove",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919452968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.