Angela Laurie Wadford Perez, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

61191 Issued in CA

Practice address

778 El Camino Real Ste a
San Carlos, CA 94070-3106

Phone

(510) 301-0407

NPI assigned

Jan 27, 2021

Last updated

Sep 24, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Angela Laurie Wadford-Perez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

State licenses

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

{
    "created_epoch": "1611705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790208000000",
    "number": "1447841143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 TORINO DR APT 4",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940702851",
            "telephone_number": "510-301-0407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "778 EL CAMINO REAL STE A",
            "city": "SAN CARLOS",
            "state": "CA",
            "postal_code": "940703106",
            "telephone_number": "510-301-0407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADFORD PEREZ",
        "first_name": "ANGELA",
        "middle_name": "LAURIE",
        "name_prefix": "Mrs.",
        "credential": "MT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-27",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "61191",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "WADFORD-PEREZ",
            "middle_name": "LAURIE",
            "credential": "MT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Massage Therapist in San Carlos, CA
• Providers in San Carlos, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2026; 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.