Mirai Medical Massage Spa

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

MIRAI MEDICAL MASSAGE SPA

Doing business as

Mirai Medical Massage Spa

Practice address

1695 S San Jacinto Ave Ste J
San Jacinto, CA 92583-5103

Phone

(760) 825-8182

NPI assigned

Mar 28, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Oxana Ogiwara, MASSAGE THERAPISTNPI 1437649522

Title

Owner

Phone

(760) 825-8182

Specialties & licenses 1

Addresses

Other names 1

• Mirai Medical Massage Spa Doing business as

Locations

Practitioners 1

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

• Oxana Ogiwara, LMT

  • Massage Therapist
  • San Jacinto, CA
  • NPI 1437649522
  NPD Authorized official

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

{
    "created_epoch": "1711584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711584000000",
    "number": "1477304434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE J",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "760-825-8182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1695 S SAN JACINTO AVE STE J",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925835103",
            "telephone_number": "760-825-8182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRAI MEDICAL MASSAGE SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-28",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A",
        "authorized_official_last_name": "OGIWARA",
        "authorized_official_first_name": "OXANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-825-8182",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirai Medical Massage Spa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dyshanay Daima Milton
• Alfons N Mina
• Mind Body Nurse Practitioner Inc
• Alexis Lia Minor
• Madison Margaret Miracle, LCSW
• Diana Miranda
• Maina Miricho, NP
• Miriam Elizabeth Mirmotahari, NP
• Noel Emmanuel Wagayen Mislang, NP
• Paul Martin Mitchell, PHYSICIAN ASSISTANT

• Health Service Clinic/Center in San Jacinto, CA
• Providers in San Jacinto, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; 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.