Active NPI
Guadalupe Mendoza, CMT, CLT, MLD, BLD
- Massage Therapist
- Madera, CA
National Provider Identifier
1407579790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 89664
- Practice address
- 1930 Howard Rd Ste H
Madera, CA 93637-5152 - Phone
- (559) 660-5913
- NPI assigned
- Sep 21, 2022
- Sex
- Female
- 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 | 89664 | CA | Primary |
Addresses
Primary practice location
1930 Howard Rd Ste H
Madera, CA 93637-5152
Mailing address
326 W Clark St Apt 202
Madera, CA 93638-0836
Phone (559) 660-5913
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | pureessence.med.postop.center@gmail.com |
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 |
|---|---|---|---|
| 89664 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663718400000",
"number": "1407579790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "326 W CLARK ST APT 202",
"city": "MADERA",
"state": "CA",
"postal_code": "936380836",
"telephone_number": "559-660-5913"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1930 HOWARD RD STE H",
"city": "MADERA",
"state": "CA",
"postal_code": "936375152",
"telephone_number": "559-660-5913"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "GUADALUPE",
"credential": "CMT, CLT, MLD, BLD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-21",
"last_updated": "2022-09-21",
"certification_date": "2022-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "89664",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "pureessence.med.postop.center@gmail.com",
"affiliation": "N",
"address_1": "1930 Howard Rd Ste H",
"city": "Madera",
"state": "CA",
"country_code": "US",
"postal_code": "936375152",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.