Individual provider Active NPI

Randy Jay Ferguson

  • Massage Therapist
  • Sacramento, CA
National Provider Identifier
1295336170
Registry record updated Nov 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
70502 Issued in CA
Practice address
3800 Watt Ave Ste 120
Sacramento, CA 95821-2622
Phone
(916) 484-0321
NPI assigned
Nov 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2020

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 70502 CA Primary

Addresses

Primary practice location

3800 Watt Ave Ste 120
Sacramento, CA 95821-2622

Mailing address

3800 Watt Ave Ste 120
Sacramento, CA 95821-2622
Phone (916) 484-0321

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
70502CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Oak Point Chiropractic & Wellness Center CurrentSince Nov 8, 2020 Accepting new patients

Locations

3800 Watt Ave
Ste 120
Sacramento, CA 95821
Phone (916) 484-0321

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604534400000",
    "number": "1295336170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WATT AVE STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212622",
            "telephone_number": "916-484-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 WATT AVE STE 120",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212622",
            "telephone_number": "916-484-0321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERGUSON",
        "first_name": "RANDY",
        "middle_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-05",
        "last_updated": "2020-11-05",
        "certification_date": "2020-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "70502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2020; 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.