Active NPI
Xiaojing Dong
- Massage Therapist
- San Diego, CA
National Provider Identifier
1407719974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 43420
- Practice address
- 4736 Clairemont
Mesa Blvd
San Diego, CA 92117 - Phone
- (619) 509-0259
- NPI assigned
- Dec 3, 2025
- Last updated
- Dec 11, 2025
- 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 | 43420 | CA | Primary |
Addresses
Primary practice location
4736 Clairemont
Mesa Blvd
San Diego, CA 92117
Mailing address
4736 Clairemont
Mesa Blvd
San Diego, CA 92117
Phone (619) 509-0259
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 |
|---|---|---|---|
| 43420 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heavenly Wellness Inc | Single Specialty | Current | Accepting new patients |
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": "1764720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765411200000",
"number": "1407719974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4736 CLAIREMONT",
"address_2": "MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92117",
"telephone_number": "619-509-0259"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4736 CLAIREMONT",
"address_2": "MESA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92117",
"telephone_number": "619-509-0259"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONG",
"first_name": "XIAOJING",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-03",
"last_updated": "2025-12-11",
"certification_date": "2025-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "43420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 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.