Individual provider Active NPI

Leonard Woodfork

  • Massage Therapist
  • Citrus Heights, CA
National Provider Identifier
1558154724
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
44382 Issued in CA
Practice address
6939 Sunrise Blvd Ste 100
Citrus Heights, CA 95610-3153
Phone
(415) 385-4059
Fax
(916) 292-8245
NPI assigned
May 28, 2025
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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 44382 CA Primary

Addresses

Primary practice location

6939 Sunrise Blvd Ste 100
Citrus Heights, CA 95610-3153

Mailing address

6939 Sunrise Blvd Ste 100
Citrus Heights, CA 95610-3153
Phone (415) 385-4059

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
44382CAMDRegistered Respiratory Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. James Acupuncture, Inc CurrentSince Jun 3, 2025 Accepting new patients

Locations

6939 Sunrise Blvd
Ste 100
Citrus Heights, CA 95610
Phone (415) 385-4059

Organizations & group practices 1

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": "1748390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1558154724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6939 SUNRISE BLVD STE 100",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103153",
            "telephone_number": "415-385-4059",
            "fax_number": "916-292-8245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6939 SUNRISE BLVD STE 100",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956103153",
            "telephone_number": "415-385-4059",
            "fax_number": "916-292-8245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODFORK",
        "first_name": "LEONARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-28",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "44382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2025; 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.