Individual provider Active NPI

Aleksey Volkov, LMT, CMT

  • Massage Therapist
  • Santa Ana, CA
National Provider Identifier
1316611056
Registry record updated Aug 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
86976 Issued in CA
Practice address
3301 S Bear St Apt 36H
Santa Ana, CA 92704-7201
Phone
(347) 987-5480
NPI assigned
Aug 5, 2021
Last updated
Aug 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 029033 NY
Massage Therapist 225700000X 86976 CA Primary

Addresses

Primary practice location

3301 S Bear St Apt 36H
Santa Ana, CA 92704-7201

Mailing address

3301 S Bear St Apt 36H
Santa Ana, CA 92704-7201
Phone (347) 987-5480

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

LicenseStateTypeSpecialty
86976CAMDPharmacotherapy Pharmacist
029033NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628121600000",
    "number": "1316611056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 S BEAR ST APT 36H",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047201",
            "telephone_number": "347-987-5480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3301 S BEAR ST APT 36H",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047201",
            "telephone_number": "347-987-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VOLKOV",
        "first_name": "ALEKSEY",
        "credential": "LMT, CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2021-08-05",
        "certification_date": "2021-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NY",
            "license": "029033",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "86976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 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.