Active NPI
Janessa Christine Perry
- Massage Therapist
- Los Banos, CA
National Provider Identifier
1578117255
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 73933
- Practice address
- 340 I St
Los Banos, CA 93635-4143 - Phone
- (209) 675-8881
- NPI assigned
- Jul 30, 2019
- Sex
- Female
- 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 | 73933 | CA | Primary |
Addresses
Primary practice location
340 I St
Los Banos, CA 93635-4143
Mailing address
218 W K St Apt 1
Los Banos, CA 93635-4054
Phone (209) 675-8881
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 |
|---|---|---|---|
| 73933 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Body Wellness | Multi-Specialty | Current | Accepting new patients |
Locations
340 I St
Los Banos, CA 93635
Phone (209) 210-2116
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564444800000",
"number": "1578117255",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "218 W K ST APT 1",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936354054",
"telephone_number": "209-675-8881"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "340 I ST",
"city": "LOS BANOS",
"state": "CA",
"postal_code": "936354143",
"telephone_number": "209-675-8881"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JANESSA",
"middle_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-30",
"last_updated": "2019-07-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "73933",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Banos, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.