Jose Tirado-Ortega Sr.

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

86141 Issued in CA

Practice address

72 Wilson St
Daly City, CA 94014-1060

Phone

(305) 775-0497

NPI assigned

Jul 14, 2022

Last updated

Jul 14, 2022By the provider in NPPES

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

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1657756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1508590480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 WILSON ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141060",
            "telephone_number": "305-775-0497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 WILSON ST",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141060",
            "telephone_number": "305-775-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIRADO-ORTEGA",
        "first_name": "JOSE",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-07-14",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "86141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ABMP",
            "identifier": "1327582",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Mobil",
            "affiliation": "N",
            "address_1": "72 Wilson St",
            "city": "Daly City",
            "state": "CA",
            "country_code": "US",
            "postal_code": "940141060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• David Tjahjono
• Linh Thuy To, RD
• Toan Thach, O.D.

• Massage Therapist in Daly City, CA
• Providers in Daly City, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2022; 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.