Audrey M Pino

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

6006 Issued in CA

Practice address

11022 Santa Monica Blvd
Suite #440 -Seaton
Los Angeles, CA 90025-7513

Phone

(310) 246-1904

NPI assigned

Mar 6, 2014

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1394064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1558787127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 5TH ST",
            "address_2": "UNIT E",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904052454",
            "telephone_number": "310-246-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11022 SANTA MONICA BLVD",
            "address_2": "SUITE #440 -SEATON",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257513",
            "telephone_number": "310-246-1904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2302 5th St",
            "address_2": "Unit E",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904052454",
            "country_code": "US",
            "telephone_number": "310-246-1904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINO",
        "first_name": "AUDREY",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-06",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "6006",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cipriano Edward Pinkney, BA SOCIAL WORK
• Alexandra Pinkus, MA, AMFT
• Pinnacle Gastroenterology Medical Associates
• Pinnacle Well Health LLC
• James Richardson Pinney, M.D., PH.D.
• Christian Pino, MD
• Favian Pinon Espinoza
• Jacqueline Marie Pinon, MD
• Johanna Pinon
• Jacek Pinski, M.D.

• Massage Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 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.