Active NPI
Natasha Beverly Harris
- Massage Therapist
- Costa Mesa, CA
National Provider Identifier
1326524703
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 330322171
- Practice address
- 1202 Bristol St FL 2
Costa Mesa, CA 92626-8605 - Phone
- (714) 424-9001
- Fax
- (714) 424-9005
- NPI assigned
- Jul 18, 2018
- 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 | 330322171 | CA | Primary |
Addresses
Primary practice location
1202 Bristol St FL 2
Costa Mesa, CA 92626-8605
Mailing address
1124 Main St Ste C
Irvine, CA 92614-6758
Phone (714) 863-2222
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 |
|---|---|---|---|
| 330322171 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1531872000000",
"number": "1326524703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1124 MAIN ST STE C",
"city": "IRVINE",
"state": "CA",
"postal_code": "926146758",
"telephone_number": "714-863-2222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 BRISTOL ST FL 2",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926268605",
"telephone_number": "714-424-9001",
"fax_number": "714-424-9005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "NATASHA",
"middle_name": "BEVERLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-07-18",
"last_updated": "2018-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "330322171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.