David Vera, CAMTC

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

31027 Issued in CA

Practice address

1704 Glenwood Rd
Glendale, CA 91201-1812

Phone

(818) 970-7317

NPI assigned

Oct 23, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445558400000",
    "number": "1396117784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4102 ORANGE AVE",
            "address_2": "SUITE 106",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908073072",
            "telephone_number": "562-444-5098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1704 GLENWOOD RD",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912011812",
            "telephone_number": "818-970-7317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VERA",
        "first_name": "DAVID",
        "credential": "CAMTC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-10-23",
        "last_updated": "2015-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "CA",
            "license": "31027",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "31027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAMTC",
            "identifier": "31027",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John Paul Ventenilla
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• Nancy Elizabeth Venturoli
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• Vera Hospice, Inc.
• Julissa Magdalena Vera
• Navid Vera
• Veranda Home Health Care Inc
• Veranda Hospice & Palliative Care Inc
• Verde Home Health Inc

• Massage Therapist in Glendale, CA
• Providers in Glendale, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.

Verify at the official NPI Registry.