Individual provider Active NPI

Noorkhayr Masiyah

  • Massage Therapist
  • Los Angeles, CA
National Provider Identifier
1306589841
Registry record updated Apr 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
85319 Issued in CA
Practice address
10634 S Wilton PL
Los Angeles, CA 90047-4352
Phone
(808) 419-0712
NPI assigned
Apr 13, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2022

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 85319 CA Primary

Addresses

Primary practice location

10634 S Wilton PL
Los Angeles, CA 90047-4352

Mailing address

10634 S Wilton PL
Los Angeles, CA 90047-4352
Phone (808) 419-0712

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": "1649808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649808000000",
    "number": "1306589841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10634 S WILTON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474352",
            "telephone_number": "808-419-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10634 S WILTON PL",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900474352",
            "telephone_number": "808-419-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASIYAH",
        "first_name": "NOORKHAYR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-04-13",
        "last_updated": "2022-04-13",
        "certification_date": "2022-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "85319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2022; 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.