Mario Demetriou, CMT CAMTC 7858

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

7858 Issued in CA

Practice address

2345 Worden St
San Diego, CA 92107-1613

Phone

(619) 241-4209

NPI assigned

Jan 24, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1706054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1326800525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2345 WORDEN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071613",
            "telephone_number": "619-241-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2345 WORDEN ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921071613",
            "telephone_number": "619-241-4209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMETRIOU",
        "first_name": "MARIO",
        "credential": "CMT CAMTC 7858",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-01-24",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "7858",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angelina Jo Demers, LMFT
• Gerard Demers, D.O.
• Sara Jean Demers
• Steven Demeter, M.D.
• Carla Demeterco-Berggren, M.D.
• Paul James Demeules, LCSW
• Andrew James Demeyer, DDS
• Mariam Demian
• Marian Demian, PROVIDER
• Gianni Demichele, LMFT

• Massage Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.