Active NPI
Robert Anthony Torres
- Massage Therapist
- Los Angeles, CA
National Provider Identifier
1285356022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 56059
- Practice address
- 12304 Santa Monica Blvd # 322
Los Angeles, CA 90025-2551 - Phone
- (310) 207-2020
- NPI assigned
- Sep 19, 2022
- Sex
- Male
- Sole proprietor
- No
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 | 56059 | CA | Primary |
Addresses
Primary practice location
12304 Santa Monica Blvd # 322
Los Angeles, CA 90025-2551
Mailing address
21500 Lassen St SPC 75
Chatsworth, CA 91311-7240
Phone (818) 857-7241
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 |
|---|---|---|---|
| 56059 | CA | MD | Endodontist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663545600000",
"number": "1285356022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21500 LASSEN ST SPC 75",
"city": "CHATSWORTH",
"state": "CA",
"postal_code": "913117240",
"telephone_number": "818-857-7241"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12304 SANTA MONICA BLVD # 322",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900252551",
"telephone_number": "310-207-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TORRES",
"first_name": "ROBERT",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-19",
"last_updated": "2022-09-19",
"certification_date": "2022-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "56059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 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.