Organization Active NPI

Socal Ritual Bodywork

  • Massage Therapist
  • Lake Elsinore, CA
National Provider Identifier
1376306738
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SOCAL RITUAL BODYWORK
Practice address
31569 Canyon Estates Dr Ste 109
Lake Elsinore, CA 92532-0470
Phone
(702) 334-7631
Fax
(951) 399-0021
NPI assigned
Jan 30, 2024
Last updated
Jun 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Ms. Lauren Amy Tucker, LMT, MLD-C, CLTNPI 1346019155
Title
Owner
Phone
(951) 399-0019

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 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

National Provider Directory

National Provider Directory

Locations

31569 Canyon Estates Dr
Ste 109
Lake Elsinore, CA 92532
Phone (351) 399-0019

40555 California Oaks Rd
Ste 118
Murrieta, CA 92562

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": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1376306738",
    "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": "702-334-7631",
            "fax_number": "951-399-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOCAL RITUAL BODYWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "TUCKER",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "AMY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-399-0019",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LMT, MLD-C, CLT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "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.

Verify at the official NPI Registry.