Individual provider Active NPI

Amber Dehaven

  • Massage Therapist
  • Murrieta, CA
National Provider Identifier
1558129502
Registry record updated Mar 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
92588 Issued in CA
Practice address
24619 Washington Ave Ste 206
Murrieta, CA 92562-8228
Phone
(951) 698-0102
NPI assigned
Mar 13, 2024
Last updated
Mar 13, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2024

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 92588 CA Primary

Addresses

Primary practice location

24619 Washington Ave Ste 206
Murrieta, CA 92562-8228

Mailing address

44856 Bananal Way
Temecula, CA 92592-1197
Phone (951) 807-6128

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

LicenseStateTypeSpecialty
92588CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Access Acupuncture, Inc CurrentSince Mar 17, 2024 Accepting new patients
Access Acupuncture, Inc PastSince Mar 17, 2024 Accepting new patients

Locations

24619 Washington Ave
Ste 206
Murrieta, CA 92562
Phone (951) 698-0102

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1558129502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44856 BANANAL WAY",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925921197",
            "telephone_number": "951-807-6128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24619 WASHINGTON AVE STE 206",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925628228",
            "telephone_number": "951-698-0102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEHAVEN",
        "first_name": "AMBER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-13",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "92588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murrieta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.

Verify at the official NPI Registry.