Active NPI
Sara Aklilu Gardner
- Massage Therapist
- Chula Vista, CA
National Provider Identifier
1386483261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 94402
- Practice address
- 88 E Bonita Rd Ste C
Chula Vista, CA 91910-3057 - Phone
- (619) 230-0855
- NPI assigned
- May 21, 2024
- Last updated
- May 21, 2024
- Sex
- Female
- 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 | 94402 | CA | Primary |
Addresses
Primary practice location
88 E Bonita Rd Ste C
Chula Vista, CA 91910-3057
Mailing address
969 Market St Unit 611
San Diego, CA 92101-7286
Phone (224) 315-0940
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 |
|---|---|---|---|
| 94402 | CA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1386483261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "969 MARKET ST UNIT 611",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921017286",
"telephone_number": "224-315-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "88 E BONITA RD STE C",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919103057",
"telephone_number": "619-230-0855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "SARA",
"middle_name": "AKLILU",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-05-21",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "94402",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
- Sinthia Garcia
- Stephanie Danielle Garcia, PT
- Tabetha Denise Garcia, M.S.
- Terejazmin Garcia
- Viviana Garcia
- Jocabed Abigail Garduno
- Garfield Beach CVS LLC (CVS Pharmacy 08859)
- Garfield Beach CVS LLC (CVS Pharmacy 09113)
- Garfield Beach CVS LLC (CVS Pharmacy #10182)
- Garfield Beach CVS LLC (CVS Pharmacy #16052)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 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.