Active NPI
Luis Fernando Valdez Segura
- Massage Therapist
- Placentia, CA
National Provider Identifier
1558086512
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8902
- Practice address
- 138 N Bradford Ave
Placentia, CA 92870-5609 - Phone
- (714) 818-2768
- Fax
- (714) 646-9492
- NPI assigned
- Oct 11, 2022
- 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 | 8902 | CA | Primary |
Addresses
Primary practice location
138 N Bradford Ave
Placentia, CA 92870-5609
Mailing address
138 N Bradford Ave
Placentia, CA 92870-5609
Phone (714) 818-2768
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8902 | Other | CA | CALIFORNIA MASSAGE THERAPY COUNCIL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | StressLessTherapyMassage@gmail.com | Direct |
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 |
|---|---|---|---|
| 8902 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1558086512",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "138 N BRADFORD AVE",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928705609",
"telephone_number": "714-818-2768",
"fax_number": "714-646-9492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "138 N BRADFORD AVE",
"city": "PLACENTIA",
"state": "CA",
"postal_code": "928705609",
"telephone_number": "714-818-2768",
"fax_number": "714-646-9492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ SEGURA",
"first_name": "LUIS",
"middle_name": "FERNANDO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "8902",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
"identifier": "8902",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "StressLessTherapyMassage@gmail.com",
"affiliation": "N",
"endpointDescription": "Business E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "138 N Bradford Ave",
"city": "Placentia",
"state": "CA",
"country_code": "US",
"postal_code": "928705609",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Placentia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.