Active NPI
Ian Edwards, CMP
- Massage Therapist
- Monterey, CA
National Provider Identifier
1386065803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 50797
- Practice address
- 225 Lighthouse Ave
Suite F
Monterey, CA 93940-1429 - Phone
- (831) 915-7757
- NPI assigned
- Dec 31, 2013
- 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 | 50797 | CA | Primary |
Addresses
Primary practice location
225 Lighthouse Ave
Suite F
Monterey, CA 93940-1429
Mailing address
915 Sierra Dr
Salinas, CA 93901-4009
Phone (831) 915-7757
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 |
|---|---|---|---|
| 50797 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1388448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446595200000",
"number": "1386065803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "915 SIERRA DR",
"city": "SALINAS",
"state": "CA",
"postal_code": "939014009",
"telephone_number": "831-915-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "225 LIGHTHOUSE AVE",
"address_2": "SUITE F",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939401429",
"telephone_number": "831-915-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EDWARDS",
"first_name": "IAN",
"name_prefix": "Mr.",
"credential": "CMP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-12-31",
"last_updated": "2015-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "50797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Monterey, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.