Active NPI
Gregory James Goulding, CMT
- Massage Therapist
- La Mesa, CA
National Provider Identifier
1386349736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 91638
- Practice address
- 8380 Center Dr Ste E
La Mesa, CA 91942-2952 - Phone
- (619) 466-6077
- Fax
- (619) 466-6118
- NPI assigned
- Apr 4, 2023
- Sex
- Male
- 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 | 91638 | CA | Primary |
Addresses
Primary practice location
8380 Center Dr Ste E
La Mesa, CA 91942-2952
Mailing address
1576 Falda del Cerro CT
El Cajon, CA 92019-3607
Phone (619) 792-5847
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 |
|---|---|---|---|
| 91638 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680566400000",
"number": "1386349736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1576 FALDA DEL CERRO CT",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920193607",
"telephone_number": "619-792-5847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 CENTER DR STE E",
"city": "LA MESA",
"state": "CA",
"postal_code": "919422952",
"telephone_number": "619-466-6077",
"fax_number": "619-466-6118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOULDING",
"first_name": "GREGORY",
"middle_name": "JAMES",
"name_prefix": "Mr.",
"credential": "CMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-04",
"last_updated": "2023-04-04",
"certification_date": "2023-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "91638",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.