Active NPI
Mariano Castano, CMT, CCM
- Massage Therapist
- Thousand Oaks, CA
National Provider Identifier
1497311971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 79564
- Practice address
- 1429 E Thousand Oaks Blvd
Ste 103
Thousand Oaks, CA 91362 - Phone
- (805) 231-2091
- Fax
- (805) 870-7339
- NPI assigned
- May 10, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 79564 | CA | Primary |
Addresses
Primary practice location
1429 E Thousand Oaks Blvd
Ste 103
Thousand Oaks, CA 91362
Mailing address
1429 E Thousand Oaks Blvd
Ste 103
Thousand Oaks, CA 91362
Phone (805) 206-7615
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45-1608665 | Other | CA | LAC |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79564 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724025600000",
"number": "1497311971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1429 E THOUSAND OAKS BLVD",
"address_2": "STE 103",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91362",
"telephone_number": "805-206-7615",
"fax_number": "805-870-7339"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1429 E THOUSAND OAKS BLVD",
"address_2": "STE 103",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "91362",
"telephone_number": "805-231-2091",
"fax_number": "805-870-7339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASTANO",
"first_name": "MARIANO",
"credential": "CMT, CCM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-05-10",
"last_updated": "2024-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "79564",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LAC",
"identifier": "45-1608665",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.