Active NPI
Blaize Sanchez
- Massage Therapist
- North Hollywood, CA
National Provider Identifier
1447904305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 54218
- Practice address
- 12249 Oxnard St Apt 101
North Hollywood, CA 91606-4689 - Phone
- (909) 841-7882
- NPI assigned
- Feb 9, 2022
- Sex
- Male
- 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 | 54218 | CA | Primary |
Addresses
Primary practice location
12249 Oxnard St Apt 101
North Hollywood, CA 91606-4689
Mailing address
522 Great Bend Dr
Diamond Bar, CA 91765-2031
Phone (909) 841-7882
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 |
|---|---|---|---|
| 54218 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1447904305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "522 GREAT BEND DR",
"city": "DIAMOND BAR",
"state": "CA",
"postal_code": "917652031",
"telephone_number": "909-841-7882"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12249 OXNARD ST APT 101",
"city": "NORTH HOLLYWOOD",
"state": "CA",
"postal_code": "916064689",
"telephone_number": "909-841-7882"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SANCHEZ",
"first_name": "BLAIZE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-09",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "54218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in North Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.