Active NPI
Jayson A Ricks, LMT
- Massage Therapist
- West Hollywood, CA
National Provider Identifier
1285390633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11431
- Practice address
- 8590 W Sunset Blvd
West Hollywood, CA 90069-2354 - Phone
- (323) 216-7978
- NPI assigned
- Nov 10, 2021
- 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 | 11431 | CA | Primary |
Addresses
Primary practice location
8590 W Sunset Blvd
West Hollywood, CA 90069-2354
Mailing address
4228 Palmero Blvd
View Park, CA 90008-4422
Phone (323) 216-7978
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 |
|---|---|---|---|
| 11431 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1636502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636502400000",
"number": "1285390633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4228 PALMERO BLVD",
"city": "VIEW PARK",
"state": "CA",
"postal_code": "900084422",
"telephone_number": "323-216-7978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8590 W SUNSET BLVD",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900692354",
"telephone_number": "323-216-7978"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICKS",
"first_name": "JAYSON",
"middle_name": "A",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-11-10",
"last_updated": "2021-11-10",
"certification_date": "2021-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "11431",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.