Individual provider Active NPI

Elizabeth Ann McCandless, H.H.P.

  • Massage Therapist
  • Santee, CA
National Provider Identifier
1285701409
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
AMTA 39950 Issued in CA
Practice address
9302 Carlton Hills Blvd
Santee, CA 92071-2501
Phone
(619) 448-6389
Fax
(619) 448-6389
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X AMTA 39950 CA Primary
Massage Therapist 225700000X NCBTMB145412-00 CA

Addresses

Primary practice location

9302 Carlton Hills Blvd
Santee, CA 92071-2501

Mailing address

9302 Carlton Hills Blvd
Santee, CA 92071-2501
Phone (619) 448-6389

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
AMTA 39950CAMDMassage Therapist
NCBTMB145412-00CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285701409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9302 CARLTON HILLS BLVD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712501",
            "telephone_number": "619-448-6389",
            "fax_number": "619-448-6389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9302 CARLTON HILLS BLVD",
            "city": "SANTEE",
            "state": "CA",
            "postal_code": "920712501",
            "telephone_number": "619-448-6389",
            "fax_number": "619-448-6389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCANDLESS",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "H.H.P.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "AMTA 39950",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "NCBTMB145412-00",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santee, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.