Active NPI
Anthony Ray Comeaux
- Massage Therapist
- Vista, CA
National Provider Identifier
1285233718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 83158
- Practice address
- 1930 Alta Vista Dr
Vista, CA 92084-6450 - Phone
- (760) 529-6692
- NPI assigned
- Oct 26, 2020
- Last updated
- Oct 26, 2020
- Sex
- Male
- 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 | 83158 | CA | Primary |
Addresses
Primary practice location
1930 Alta Vista Dr
Vista, CA 92084-6450
Mailing address
PO Box 130833
Carlsbad, CA 92013-0833
Phone (760) 529-6692
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 |
|---|---|---|---|
| 83158 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1285233718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130833",
"city": "CARLSBAD",
"state": "CA",
"postal_code": "920130833",
"telephone_number": "760-529-6692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 ALTA VISTA DR",
"city": "VISTA",
"state": "CA",
"postal_code": "920846450",
"telephone_number": "760-529-6692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COMEAUX",
"first_name": "ANTHONY",
"middle_name": "RAY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-10-26",
"last_updated": "2020-10-26",
"certification_date": "2020-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "83158",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vista, CA
- Collective Impact Solutions
- Brandie A Collins, IDC
- Teddy Collins
- Blanca Colmenares, PSS
- Colorectal Center of San Diego, Inc.
- Community Dental Services (SmileCare Dental Group)
- Community Hospice San Diego, Inc
- Community Research Foundation, Inc. (Advance North)
- Complete Care Community Health Center, Inc
- Matthew Scott Compos
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 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.