Active NPI
Joanne Marie Vargo
- Massage Therapist
- Fairfield, CA
National Provider Identifier
1447610555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 740 Texas St
Ste 208
Fairfield, CA 94533-5512 - Phone
- (707) 389-4915
- NPI assigned
- Mar 2, 2016
- 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 | Primary |
Addresses
Primary practice location
740 Texas St
Ste 208
Fairfield, CA 94533-5512
Mailing address
1619 San Carlos St
Fairfield, CA 94533-5242
Phone (707) 694-6588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35000 | Other | CA | CAMTC (CALIFORNIA MASSAGE THERAPY COUNCIL) |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456876800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466640000000",
"number": "1447610555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1619 SAN CARLOS ST",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335242",
"telephone_number": "707-694-6588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "740 TEXAS ST",
"address_2": "STE 208",
"city": "FAIRFIELD",
"state": "CA",
"postal_code": "945335512",
"telephone_number": "707-389-4915"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VARGO",
"first_name": "JOANNE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-02",
"last_updated": "2016-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAMTC (CALIFORNIA MASSAGE THERAPY COUNCIL)",
"identifier": "35000",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fairfield, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.