Active NPI
Jason Villalobos
- Massage Therapist
- Tarzana, CA
National Provider Identifier
1316457658
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 42634
- Practice address
- 5444 Yolanda Ave Ste 210
Tarzana, CA 91356-6305 - Phone
- (310) 598-1533
- NPI assigned
- Sep 30, 2017
- Sex
- Male
- 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 | 42634 | CA | Primary |
Addresses
Primary practice location
5444 Yolanda Ave Ste 210
Tarzana, CA 91356-6305
Mailing address
14159 Gilmore St Apt 5
Van Nuys, CA 91401-6547
Phone (214) 690-7980
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": "1506729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506729600000",
"number": "1316457658",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14159 GILMORE ST APT 5",
"city": "VAN NUYS",
"state": "CA",
"postal_code": "914016547",
"telephone_number": "214-690-7980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5444 YOLANDA AVE STE 210",
"city": "TARZANA",
"state": "CA",
"postal_code": "913566305",
"telephone_number": "310-598-1533"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALOBOS",
"first_name": "JASON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-09-30",
"last_updated": "2017-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "42634",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tarzana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.