Individual provider Active NPI

Eva Chalupova

  • Massage Therapist
  • Menlo Park, CA
National Provider Identifier
1295301943
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
76644 Issued in CA
Practice address
1220 University Dr Ste 103
Menlo Park, CA 94025-4265
Phone
(650) 823-4321
NPI assigned
Jun 2, 2021
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 76644 CA Primary

Addresses

Primary practice location

1220 University Dr Ste 103
Menlo Park, CA 94025-4265

Mailing address

1220 University Dr Ste 103
Menlo Park, CA 94025-4265
Phone (650) 823-4321

Other identifiers 1

IdentifierTypeStateIssuer
76644OtherCACALIFORNIA MASSAGE THERAPY COUNCIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL eva@menlomassage.com Health Information Exchange (HIE)

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
76644CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1295301943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 UNIVERSITY DR STE 103",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254265",
            "telephone_number": "650-823-4321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 UNIVERSITY DR STE 103",
            "city": "MENLO PARK",
            "state": "CA",
            "postal_code": "940254265",
            "telephone_number": "650-823-4321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALUPOVA",
        "first_name": "EVA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "76644",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
            "identifier": "76644",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "eva@menlomassage.com",
            "affiliation": "N",
            "endpointDescription": "HIPPA Compliant email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1220 University Dr Ste 103",
            "city": "Menlo Park",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940254265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Menlo Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 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.

Verify at the official NPI Registry.