Individual provider Active NPI

Panadda Tuggle

  • Massage Therapist
  • Los Angeles, CA
National Provider Identifier
1487575700
Registry record updated Jul 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
93821 Issued in CA
Practice address
2796 Creston Dr
Los Angeles, CA 90068-2260
Phone
(213) 756-3968
NPI assigned
Jul 22, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2026

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 93821 CA Primary

Addresses

Primary practice location

2796 Creston Dr
Los Angeles, CA 90068-2260

Mailing address

2796 Creston Dr
Los Angeles, CA 90068-2260
Phone (213) 756-3968

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": "1784678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1487575700",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2796 CRESTON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682260",
            "telephone_number": "213-756-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2796 CRESTON DR",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900682260",
            "telephone_number": "213-756-3968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUGGLE",
        "first_name": "PANADDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-22",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "93821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.