Active NPI
Darran Michasl Ryan, CMT
- Massage Therapist
- San Jose, CA
National Provider Identifier
1346610581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 49565
- Practice address
- 826 N Winchester Blvd
San Jose, CA 95128-1313 - Phone
- (408) 297-0332
- Fax
- (408) 608-1500
- NPI assigned
- Sep 30, 2015
- Last updated
- Sep 30, 2015
- Sex
- Male
- 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 | 49565 | CA | Primary |
Addresses
Primary practice location
826 N Winchester Blvd
San Jose, CA 95128-1313
Mailing address
826 N Winchester Blvd
Suite 1
San Jose, CA 95128-1313
Phone (408) 297-0332
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 225700000X | Other | CMT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1443571200000",
"number": "1346610581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 N WINCHESTER BLVD",
"address_2": "SUITE 1",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281313",
"telephone_number": "408-297-0332",
"fax_number": "408-608-1500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "826 N WINCHESTER BLVD",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951281313",
"telephone_number": "408-297-0332",
"fax_number": "408-608-1500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RYAN",
"first_name": "DARRAN",
"middle_name": "MICHASL",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-09-30",
"last_updated": "2015-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "49565",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CMT",
"identifier": "225700000X",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.