Active NPI
Hassanan Suththeepraphasawasdee
- Massage Therapist
- Roseville, CA
National Provider Identifier
1326828773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- CERT94359ID166632
- Practice address
- 300 Harding Boulevard
Roseville, CA 95678 - Phone
- (818) 966-4464
- NPI assigned
- Oct 3, 2023
- Last updated
- Oct 3, 2023
- 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 | CERT94359ID166632 | CA | Primary |
Addresses
Primary practice location
300 Harding Boulevard
Roseville, CA 95678
Mailing address
7652 Clement Circle
Sacramento, CA 95828
Phone (818) 966-4464
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 |
|---|---|---|---|
| CERT94359ID166632 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1326828773",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7652 CLEMENT CIRCLE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95828",
"telephone_number": "818-966-4464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 HARDING BOULEVARD",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "95678",
"telephone_number": "818-966-4464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUTHTHEEPRAPHASAWASDEE",
"first_name": "HASSANAN",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-10-03",
"last_updated": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "CERT94359ID166632",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roseville, CA
- Califia Suntree, MS, RDN
- Ila Suplizio, DPT
- Support Spirit Counseling & Therapy
- Katy Patrice Surritt
- Kiran Suryadevara, MD, MPH
- Haley Susie Sutono
- Sutter Health Sacramento Sierra Region (Sutter Roseville Medical Center Pharmacy)
- Sutter Health Sacramento Sierra Region (Sutter Roseville Medical Center (STARS Unit))
- Sutter Health Sacramento Sierra Region (Sutter Roseville Medical Center)
- Sutter Health Sacramento Sierra Region (Sutter Roseville Medical Center Infusion Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.