Individual provider Active NPI

Annette Telfer

  • Massage Therapist
  • Mission Viejo, CA
National Provider Identifier
1578931671
Registry record updated Sep 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
9374 Issued in CA
Practice address
23162 Los Alisos Blvd
Suite 102B
Mission Viejo, CA 92691-2843
Phone
(949) 951-1560
NPI assigned
Sep 4, 2015
Last updated
Sep 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2015

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 9374 CA Primary

Addresses

Primary practice location

23162 Los Alisos Blvd
Suite 102B
Mission Viejo, CA 92691-2843

Mailing address

486 Shady Dr
Costa Mesa, CA 92627-3228
Phone (949) 554-7957

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": "1441324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441324800000",
    "number": "1578931671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 SHADY DR",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926273228",
            "telephone_number": "949-554-7957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23162 LOS ALISOS BLVD",
            "address_2": "SUITE 102B",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926912843",
            "telephone_number": "949-951-1560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELFER",
        "first_name": "ANNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-04",
        "last_updated": "2015-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "9374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2015; 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.