Individual provider Active NPI

Camila Paula Casanova Siwiuk Tarasiuk, CMT

  • Massage Therapist
  • Mountain View, CA
National Provider Identifier
1487268207
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
76286 Issued in CA
Practice address
537 Mariposa Ave Apt 2
Mountain View, CA 94041-1728
Phone
(650) 283-6084
NPI assigned
Aug 31, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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 76286 CA Primary

Addresses

Primary practice location

537 Mariposa Ave Apt 2
Mountain View, CA 94041-1728

Mailing address

1630 S Delaware St Unit 5427
San Mateo, CA 94402-6623
Phone (650) 283-6084

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": "1598832000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614556800000",
    "number": "1487268207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 S DELAWARE ST UNIT 5427",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944026623",
            "telephone_number": "650-283-6084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "537 MARIPOSA AVE APT 2",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940411728",
            "telephone_number": "650-283-6084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASANOVA SIWIUK TARASIUK",
        "first_name": "CAMILA PAULA",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-31",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "76286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; 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.