Active NPI
Alexandra Raye Vonbriel
- Massage Therapist
- Los Angeles, CA
National Provider Identifier
1336850403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 85590
- Practice address
- 12513 Venice Blvd
Los Angeles, CA 90066-3701 - Phone
- (908) 907-0841
- NPI assigned
- Dec 9, 2022
- Sex
- Female
- Sole proprietor
- No
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 | 85590 | CA | Primary |
Addresses
Primary practice location
12513 Venice Blvd
Los Angeles, CA 90066-3701
Mailing address
11501 Venice Blvd Apt 3
Los Angeles, CA 90066-4043
Phone (908) 907-0841
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 |
|---|---|---|---|
| 85590 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670544000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670544000000",
"number": "1336850403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11501 VENICE BLVD APT 3",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900664043",
"telephone_number": "908-907-0841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12513 VENICE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900663701",
"telephone_number": "908-907-0841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONBRIEL",
"first_name": "ALEXANDRA",
"middle_name": "RAYE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-12-09",
"last_updated": "2022-12-09",
"certification_date": "2020-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "85590",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.