Individual provider Active NPI

Cynthia Nair Tamrazzadeh

  • Massage Therapist
  • Glendale, CA
National Provider Identifier
1558755454
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
52659 Issued in CA
Practice address
1016 E Broadway
Suite #101
Glendale, CA 91205-4532
Phone
(818) 396-9080
NPI assigned
Mar 28, 2015
Last updated
Feb 28, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 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 52659 CA Primary

Addresses

Primary practice location

1016 E Broadway
Suite #101
Glendale, CA 91205-4532

Mailing address

3340 Prospect Ave
La Crescenta, CA 91214-2548
Phone (786) 657-6555

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": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1558755454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 PROSPECT AVE",
            "city": "LA CRESCENTA",
            "state": "CA",
            "postal_code": "912142548",
            "telephone_number": "786-657-6555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 E BROADWAY",
            "address_2": "SUITE #101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054532",
            "telephone_number": "818-396-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMRAZZADEH",
        "first_name": "CYNTHIA",
        "middle_name": "NAIR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "52659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

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