Individual provider Active NPI

Hisako Oba, CMT

  • Massage Therapist
  • Berkeley, CA
National Provider Identifier
1508134248
Registry record updated Dec 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
12104 Issued in CA
Practice address
2718 Telegraph Ave Ste 103
Berkeley, CA 94705-1142
Phone
(510) 295-9820
NPI assigned
Dec 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2011

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 12104 CA Primary

Addresses

Primary practice location

2718 Telegraph Ave Ste 103
Berkeley, CA 94705-1142

Mailing address

1159 Hearst Ave Apt a
Berkeley, CA 94702-1621
Phone (510) 644-1530

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": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1508134248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1159 HEARST AVE APT A",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947021621",
            "telephone_number": "510-644-1530",
            "fax_number": "510-644-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2718 TELEGRAPH AVE STE 103",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947051142",
            "telephone_number": "510-295-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OBA",
        "first_name": "HISAKO",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "12104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berkeley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.