Individual provider Active NPI

Giovanni Fernandes Da Silva Cardoso, CMT

  • Massage Therapist
  • Torrance, CA
National Provider Identifier
1437821907
Registry record updated Oct 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
4640 Del Amo Blvd
Torrance, CA 90503-1939
Phone
(310) 800-1418
NPI assigned
Oct 1, 2021
Last updated
Oct 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2021

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 Primary

Addresses

Primary practice location

4640 Del Amo Blvd
Torrance, CA 90503-1939

Mailing address

17 Coraltree LN
Rolling Hills Estates, CA 90274-4800
Phone (424) 452-8852

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL www.kareo.com Health Information Exchange (HIE)

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
Back on Point Wellness Dr. Kim Chiropractic, Inc. Massage Therapist CurrentSince Oct 17, 2021 Accepting new patients

Locations

4640 Del Amo Blvd
Torrance, CA 90503
Phone (310) 800-1314

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": "1633046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633046400000",
    "number": "1437821907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CORALTREE LN",
            "city": "ROLLING HILLS ESTATES",
            "state": "CA",
            "postal_code": "902744800",
            "telephone_number": "424-452-8852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 DEL AMO BLVD",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905031939",
            "telephone_number": "310-800-1418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDES DA SILVA CARDOSO",
        "first_name": "GIOVANNI",
        "name_prefix": "Mr.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-01",
        "last_updated": "2021-10-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.kareo.com",
            "affiliation": "N",
            "endpointDescription": "EHR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "html",
            "address_1": "4640 Del Amo Blvd",
            "city": "Torrance",
            "state": "CA",
            "country_code": "US",
            "postal_code": "905031939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2021; 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.