Evan Bryan, HHP, MT

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

7956 Cinnabar Dr
La Mesa, CA 91941-6353

Phone

(619) 587-3517

NPI assigned

Sep 15, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Medical Technician

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1497360531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7956 CINNABAR DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416353",
            "telephone_number": "619-587-3517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7956 CINNABAR DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416353",
            "telephone_number": "619-587-3517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRYAN",
        "first_name": "EVAN",
        "credential": "HHP, MT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Brown, LCSW
• Natalie Faith Brubaker
• Bruce M Crabtree MD Inc
• Julianna Brundage, RDHAP
• Joan Bruno
• Jeanine Bryan, P.T
• Bryant Nguyen, MD, PC
• Tamika Mims Bryant
• Lana Bubalo, DDS
• Morey Jack Bubis, MD

• Massage Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.