Active NPI
Elizabeth Ann McCandless, H.H.P.
- Massage Therapist
- Santee, CA
National Provider Identifier
1285701409
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- AMTA 39950
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| AMTA 39950 | CA | MD | Massage Therapist |
| NCBTMB145412-00 | CA | MD | Massage 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.