Kirstin Linne Gagarin

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

A4319851 Issued in CA

Practice address

3601 Caldwell Drive
Soquel, CA 95073-2055

Phone

(831) 576-3000

Fax

(831) 607-2662

NPI assigned

Nov 27, 2019

Last updated

Nov 27, 2019By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Agile Occupational Medicine, PC

  • Occupational Medicine Clinic/Center
  • Soquel, CA
  • NPI 1952026841
  NPD

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

{
    "created_epoch": "1574812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574812800000",
    "number": "1467098277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4041-151 SOQUEL DRIVE",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "95073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 CALDWELL DRIVE",
            "city": "SOQUEL",
            "state": "CA",
            "postal_code": "950732055",
            "telephone_number": "831-576-3000",
            "fax_number": "831-607-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGARIN",
        "first_name": "KIRSTIN",
        "middle_name": "LINNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-27",
        "last_updated": "2019-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "A4319851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Forward Day LLC
• Jordan Foster, LCSW
• Kecia Fowler, DOM
• Leslie Carol French-Baxter, LMFT
• Colin W Frogley, DC
• Luis Manuel Galvan, RN
• Katie Lynne Garner
• Melissa Gelin, LAC
• Kyriea Giegerich
• Maria Mercedes Giron-Cerna

• Massage Therapist in Soquel, CA
• Providers in Soquel, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2019; 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.