Lailii Rascon

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

74047 Issued in CA

Practice address

2001 Santa Ana Ave
Costa Mesa, CA 92627-2139

Phone

(323) 377-3765

NPI assigned

Jan 26, 2019

Sex

Female

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

State licenses

Practice roles

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.

• Repair NB Physical Therapy, Corp

  • Physical Therapist
  • Newport Beach, CA
  • NPI 1134622111

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548460800000",
    "number": "1366906059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 SANTA ANA AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272139",
            "telephone_number": "323-377-3765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 SANTA ANA AVE",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926272139",
            "telephone_number": "323-377-3765"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7146 Edinger Ave",
            "address_purpose": "LOCATION",
            "city": "Huntington Beach",
            "state": "CA",
            "postal_code": "926473568",
            "country_code": "US",
            "telephone_number": "714-377-4314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASCON",
        "first_name": "LAILII",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "74047",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cassandra Randolph, M.S., CCC-SLP
• Michelle Lee Rangel
• Marquesha Elizabeth Rankin
• Brenna Ashley Ransom
• Alyssa Raphael
• Kayliegh Samantha Rashad
• Moira Rashid, M.D.
• Naazaneen Rashid
• Reza Rasouli, MD
• Noelle Rawlins

• Massage Therapist in Costa Mesa, CA
• Providers in Costa Mesa, 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 26, 2019; 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.