Active NPI
Robert Recalde, LMT
- Massage Therapist
- Pasadena, CA
National Provider Identifier
1457956997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 41343
- Practice address
- 137 W California Blvd
Pasadena, CA 91105-3005 - Phone
- (626) 793-7818
- NPI assigned
- Dec 2, 2020
- Sex
- Male
- Sole proprietor
- No
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 | 41343 | CA | Primary |
Addresses
Primary practice location
137 W California Blvd
Pasadena, CA 91105-3005
Mailing address
137 W California Blvd
Pasadena, CA 91105-3005
Phone (626) 793-7818
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 |
|---|---|---|---|
| 41343 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nagomi Corporation | Massage Therapist | Current | Accepting new patients |
Locations
137 W California Blvd
Pasadena, CA 91105
Phone (626) 793-7818
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606867200000",
"number": "1457956997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "137 W CALIFORNIA BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053005",
"telephone_number": "626-793-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 W CALIFORNIA BLVD",
"city": "PASADENA",
"state": "CA",
"postal_code": "911053005",
"telephone_number": "626-793-7818"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RECALDE",
"first_name": "ROBERT",
"credential": "LMT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-02",
"last_updated": "2020-12-02",
"certification_date": "2020-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "41343",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pasadena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.