Active NPI
Sandie West, LMT
- Massage Therapist
- Marina del Rey, CA
National Provider Identifier
1295374817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 11764
- Practice address
- 3401 Pacific Ave Ste 2a
Marina del Rey, CA 90292-7800 - Phone
- (310) 823-9378
- NPI assigned
- Dec 30, 2019
- 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 | 11764 | CA | Primary |
Addresses
Primary practice location
3401 Pacific Ave Ste 2a
Marina del Rey, CA 90292-7800
Mailing address
3401 Pacific Ave Ste 2a
Marina del Rey, CA 90292-7800
Phone (310) 721-2389
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11764 | Other | CA | CAMTC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | www.creativechakra.com | Other |
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": "1577664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1577664000000",
"number": "1295374817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3401 PACIFIC AVE STE 2A",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927800",
"telephone_number": "310-721-2389"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 PACIFIC AVE STE 2A",
"city": "MARINA DEL REY",
"state": "CA",
"postal_code": "902927800",
"telephone_number": "310-823-9378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEST",
"first_name": "SANDIE",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-12-30",
"last_updated": "2019-12-30",
"certification_date": "2019-12-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "11764",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAMTC",
"identifier": "11764",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "www.creativechakra.com",
"affiliation": "N",
"endpointDescription": "Office",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "www.creativechakra.com",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "3401 Pacific Ave Ste 2A",
"city": "Marina Del Rey",
"state": "CA",
"country_code": "US",
"postal_code": "902927800",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Marina del Rey, CA
- Vance Marshal Washington, MD
- Watkins Spine, Inc.
- Robert Green Watkins IV, M.D.
- Robert Green Watkins III, M.D.
- Wesley Ryan MD PC
- Western Diagnostic & Therapeutic Radiology Medical Group, Inc.
- Western Imaging Marina del Rey Inc
- Western Imaging, Marina del Rey
- Westside Therapy Services
- Emily Whalen, D.P.T.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.