Individual provider Active NPI

Paula Fernanda Xavier Da Fonseca, CMT

  • Massage Therapist
  • Encino, CA
National Provider Identifier
1417866864
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
103317 Issued in CA
Practice address
5140 White Oak Ave Apt 221
Encino, CA 91316-2435
Phone
(818) 203-4799
NPI assigned
Sep 2, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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 103317 CA Primary

Addresses

Primary practice location

5140 White Oak Ave Apt 221
Encino, CA 91316-2435

Mailing address

5140 White Oak Ave Apt 221
Encino, CA 91316-2435
Phone (818) 203-4799

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1417866864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5140 WHITE OAK AVE APT 221",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162435",
            "telephone_number": "818-203-4799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5140 WHITE OAK AVE APT 221",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913162435",
            "telephone_number": "818-203-4799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XAVIER DA FONSECA",
        "first_name": "PAULA",
        "middle_name": "FERNANDA",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-02",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "103317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.