Michael Tejada, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

85012 Issued in CA

Practice address

10601 Church St Ste 109
Rancho Cucamonga, CA 91730-6894

Phone

(909) 285-4561

NPI assigned

May 31, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622419200000",
    "number": "1306412465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 E J ST",
            "city": "ONTARIO",
            "state": "CA",
            "postal_code": "917642719",
            "telephone_number": "909-238-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10601 CHURCH ST STE 109",
            "city": "RANCHO CUCAMONGA",
            "state": "CA",
            "postal_code": "917306894",
            "telephone_number": "909-285-4561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEJADA",
        "first_name": "MICHAEL",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-31",
        "last_updated": "2021-05-31",
        "certification_date": "2021-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "85012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tommi Taylor
• Team Physical Therapy, Inc.
• Andrea Lynn Teas
• Yeow Teh Tee, D.D.S.
• Julianne Tejada
• Jacquelin Tejeda, LMFT
• Antonia Tellez, LMFT
• Temecula Valley Family Medical Group
• Denise James Templeton, SLP
• Coracel Suratos Templo, DDS

• Massage Therapist in Rancho Cucamonga, CA
• Providers in Rancho Cucamonga, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.