Organization Active NPI

Clinical Massage Services LLC

  • Pain Clinic/Center
  • Oakland, CA
National Provider Identifier
1457073900
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Clinic/CenterTaxonomy code 261QP3300X
Legal business name
CLINICAL MASSAGE SERVICES LLC
Practice address
5044 Woodminster LN
Oakland, CA 94602-2614
Phone
(510) 919-4852
NPI assigned
Sep 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Authorized official

Name
Phillip Joseph Jr., CMTNPI 1083486203
Title
Ceo
Phone
(510) 919-4852

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X
Pain Clinic/Center 261QP3300X Primary

Addresses

Primary practice location

5044 Woodminster LN
Oakland, CA 94602-2614

Mailing address

1675 7TH St # 23971
Oakland, CA 94615-0002
Phone (510) 919-4852

National Provider Directory

National Provider Directory

Locations

5044 Woodminster Ln
Oakland, CA 94602
Phone (510) 919-4852

77 Scripps Dr
Ste 205
Sacramento, CA 95825
Phone (916) 929-1838

1804 Capitol Ave
Cheyenne, WY 82001

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698019200000",
    "number": "1457073900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 7TH ST # 23971",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946150002",
            "telephone_number": "510-919-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5044 WOODMINSTER LN",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946022614",
            "telephone_number": "510-919-4852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICAL MASSAGE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-12",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A",
        "authorized_official_last_name": "JOSEPH",
        "authorized_official_first_name": "PHILLIP",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "510-919-4852",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2023; 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.