Individual provider Active NPI

David Martin Sifuentes Brito, CMT

  • Massage Therapist
  • Anaheim, CA
National Provider Identifier
1578337671
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
94414 Issued in CA
Practice address
1100 E Orangethorpe Ave Ste 252G
Anaheim, CA 92801-1164
Phone
(714) 273-5534
NPI assigned
Nov 8, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 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 94414 CA Primary

Addresses

Primary practice location

1100 E Orangethorpe Ave Ste 252G
Anaheim, CA 92801-1164

Mailing address

1241 N East St SPC 214
Anaheim, CA 92805-1139
Phone (714) 273-5534

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": "1699401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1578337671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 N EAST ST SPC 214",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928051139",
            "telephone_number": "714-273-5534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 E ORANGETHORPE AVE STE 252G",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011164",
            "telephone_number": "714-273-5534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIFUENTES BRITO",
        "first_name": "DAVID",
        "middle_name": "MARTIN",
        "credential": "CMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-11-08",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "94414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.