Active NPI
Mekka A Edwards
- Massage Therapist
- West Hills, CA
National Provider Identifier
1295163269
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 50211
- Practice address
- 23705 Vanowen St
179
West Hills, CA 91307-3030 - Phone
- (818) 438-6030
- NPI assigned
- Oct 29, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 50211 | CA | Primary |
Addresses
Primary practice location
23705 Vanowen St
179
West Hills, CA 91307-3030
Mailing address
23705 Vanowen St
179
West Hills, CA 91307-3030
Phone (818) 438-6030
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1383004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383004800000",
"number": "1295163269",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23705 VANOWEN ST",
"address_2": "179",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913073030",
"telephone_number": "818-438-6030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23705 VANOWEN ST",
"address_2": "179",
"city": "WEST HILLS",
"state": "CA",
"postal_code": "913073030",
"telephone_number": "818-438-6030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "MEKKA",
"middle_name": "A",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-10-29",
"last_updated": "2013-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "50211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.