Active NPI
Tamara Ranelle Valentine, MASSAGE THERAPIST
- Massage Therapist
- Costa Mesa, CA
National Provider Identifier
1316545106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 82407
- Practice address
- 831 Darrell St
Costa Mesa, CA 92627-3313 - Phone
- (562) 726-5866
- NPI assigned
- Oct 14, 2020
- 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 | 82407 | CA | Primary |
Addresses
Primary practice location
831 Darrell St
Costa Mesa, CA 92627-3313
Mailing address
831 Darrell St
Costa Mesa, CA 92627-3313
Phone (562) 726-5866
Other names 1
- Ranelle Valentine
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
| License | State | Type | Specialty |
|---|---|---|---|
| 82407 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1602633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1602633600000",
"number": "1316545106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "831 DARRELL ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273313",
"telephone_number": "562-726-5866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 DARRELL ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273313",
"telephone_number": "562-726-5866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENTINE",
"first_name": "TAMARA",
"middle_name": "RANELLE",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-10-14",
"last_updated": "2020-10-14",
"certification_date": "2020-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "82407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RANELLE",
"last_name": "VALENTINE",
"credential": "MASSAGE THERAPIST",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 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.