Individual provider Active NPI

Andrew Rubio Manriquez

  • Massage Therapist
  • Northridge, CA
National Provider Identifier
1396635850
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
9301 Tampa Ave SPC 565
Northridge, CA 91324-2503
Phone
(818) 257-3950
Fax
(818) 279-0658
NPI assigned
Jul 7, 2025
Last updated
Jul 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X NU Primary

Addresses

Primary practice location

9301 Tampa Ave SPC 565
Northridge, CA 91324-2503

Mailing address

9301 Tampa Ave SPC 565
Northridge, CA 91324-2503
Phone (818) 257-3950

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gemini Therapeutic Solutions Massage Therapist CurrentSince Jul 13, 2025 Accepting new patients

Locations

9301 Tampa Ave
Spc 565
Northridge, CA 91324
Phone (310) 307-0719

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1751846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1396635850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 TAMPA AVE SPC 565",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242503",
            "telephone_number": "818-257-3950",
            "fax_number": "818-279-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 TAMPA AVE SPC 565",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913242503",
            "telephone_number": "818-257-3950",
            "fax_number": "818-279-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANRIQUEZ",
        "first_name": "ANDREW",
        "middle_name": "RUBIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-07-07",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northridge, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2025; 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.