Individual provider Active NPI

Angelica Cordeiro Dasilva

  • Massage Therapist
  • Walnut Creek, CA
National Provider Identifier
1467145490
Registry record updated May 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
88869 Issued in CA
Practice address
7000 Sunne LN Ste 110
Walnut Creek, CA 94597-3613
Phone
(510) 672-9489
NPI assigned
May 26, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 88869 CA Primary

Addresses

Primary practice location

7000 Sunne LN Ste 110
Walnut Creek, CA 94597-3613

Mailing address

1763 Woodcrest Dr
Concord, CA 94521-1203
Phone (510) 672-9489

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

NPI Registry JSON

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

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1467145490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1763 WOODCREST DR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945211203",
            "telephone_number": "510-672-9489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 SUNNE LN STE 110",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945973613",
            "telephone_number": "510-672-9489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDEIRO DASILVA",
        "first_name": "ANGELICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "88869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.