Active NPI
Xiaoying Gao, CERT #73644
- Massage Therapist
- Modesto, CA
National Provider Identifier
1376309781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- CERT73644
- Practice address
- 1429 College Ave
Suite L
Modesto, CA 95350 - Phone
- (916) 913-6766
- NPI assigned
- Feb 23, 2024
- Sex
- Female
- Sole proprietor
- No
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 | CERT73644 | CA | Primary |
Addresses
Primary practice location
1429 College Ave
Suite L
Modesto, CA 95350
Mailing address
1185 Berea Dr
Turlock, CA 95382
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 |
|---|---|---|---|
| CERT73644 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708646400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708646400000",
"number": "1376309781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1185 BEREA DR",
"city": "TURLOCK",
"state": "CA",
"postal_code": "95382"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 COLLEGE AVE",
"address_2": "SUITE L",
"city": "MODESTO",
"state": "CA",
"postal_code": "95350",
"telephone_number": "916-913-6766"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAO",
"first_name": "XIAOYING",
"credential": "CERT #73644",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-23",
"last_updated": "2024-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "CERT73644",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.