Organization Active NPI

Advance Wellness Pearl L.L.C

Doing business as Advance Wellness Therapy

  • Massage Therapist
  • Ukiah, CA
National Provider Identifier
1376289710
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ADVANCE WELLNESS PEARL L.L.C
Doing business as
Advance Wellness Therapy
Practice address
168 Washington Ave Ste a
Ukiah, CA 95482-8324
Phone
(707) 710-0072
NPI assigned
May 9, 2022
Last updated
Jan 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Carolina Delgado, CMTNPI 1770159246
Title
Manager
Phone
(707) 710-0072

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

168 Washington Ave Ste a
Ukiah, CA 95482-8324

Mailing address

168 Washington Ave Ste a
Ukiah, CA 95482-8324
Phone (707) 710-0072

Other names 1

  • Advance Wellness Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

740 S Dora St
Ukiah, CA 95482
Phone (707) 462-3520

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1652054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736121600000",
    "number": "1376289710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 WASHINGTON AVE STE A",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954828324",
            "telephone_number": "707-710-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 WASHINGTON AVE STE A",
            "city": "UKIAH",
            "state": "CA",
            "postal_code": "954828324",
            "telephone_number": "707-710-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCE WELLNESS PEARL L.L.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-09",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A",
        "authorized_official_last_name": "DELGADO",
        "authorized_official_first_name": "CAROLINA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "707-710-0072",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advance Wellness Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Advance Wellness Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Ukiah, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.

Verify at the official NPI Registry.