Active NPI
Lauren Tucker, LMT, MLD-C, CLT
- Massage Therapist
- Lake Elsinore, CA
National Provider Identifier
1346019155
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 94640
- Practice address
- 31569 Canyon Estates Dr Ste 109
Lake Elsinore, CA 92532-0470 - Phone
- (351) 399-0019
- Fax
- (951) 399-0021
- NPI assigned
- Dec 21, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 94640 | CA | |
| Massage Therapist | 225700000X | 94640 | CA | Primary |
Addresses
Primary practice location
31569 Canyon Estates Dr Ste 109
Lake Elsinore, CA 92532-0470
Mailing address
35858 Octopus LN
Wildomar, CA 92595-8095
Phone (702) 334-7631
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 |
|---|---|---|---|
| 94640 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Socal Ritual Bodywork | Single Specialty | Current | Accepting new patients |
Locations
31569 Canyon Estates Dr
Ste 109
Lake Elsinore, CA 92532
Phone (351) 399-0019
40555 California Oaks Rd
Ste 118
Murrieta, CA 92562
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703116800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748822400000",
"number": "1346019155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35858 OCTOPUS LN",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925958095",
"telephone_number": "702-334-7631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "31569 CANYON ESTATES DR STE 109",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925320470",
"telephone_number": "351-399-0019",
"fax_number": "951-399-0021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TUCKER",
"first_name": "LAUREN",
"credential": "LMT, MLD-C, CLT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-21",
"last_updated": "2025-06-02",
"certification_date": "2025-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CA",
"license": "94640",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "94640",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.