Individual provider Active NPI

Phillip P Rojas

  • Massage Therapist
  • Newport Beach, CA
National Provider Identifier
1578250445
Registry record updated Apr 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
24826 Issued in CA
Practice address
901 Dover Dr Ste 234
Newport Beach, CA 92660-5515
Phone
(949) 642-8193
Fax
(949) 325-0817
NPI assigned
Apr 20, 2023
Last updated
Apr 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2023

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 24826 CA Primary

Addresses

Primary practice location

901 Dover Dr Ste 234
Newport Beach, CA 92660-5515

Mailing address

901 Dover Dr Ste 234
Newport Beach, CA 92660-5515
Phone (949) 642-8193

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
24826CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Angela Iacovino Chiropractic, Inc CurrentSince Apr 23, 2023 Accepting new patients

Locations

901 Dover Dr
Ste 234
Newport Beach, CA 92660
Phone (949) 642-8193

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": "1681948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1578250445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 234",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605515",
            "telephone_number": "949-642-8193",
            "fax_number": "949-325-0817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 DOVER DR STE 234",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926605515",
            "telephone_number": "949-642-8193",
            "fax_number": "949-325-0817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROJAS",
        "first_name": "PHILLIP",
        "middle_name": "P",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-20",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "24826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2023; 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.