Active NPI
Dejan Armani Brown, CMT
- Massage Therapist
- La Mesa, CA
National Provider Identifier
1609587369
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 33414
- Practice address
- 8380 Center Dr Ste E
La Mesa, CA 91942-2952 - Phone
- (619) 466-6077
- NPI assigned
- Dec 13, 2022
- Sex
- Male
- 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 | 33414 | CA | Primary |
Addresses
Primary practice location
8380 Center Dr Ste E
La Mesa, CA 91942-2952
Mailing address
1658 W 105TH St
Los Angeles, CA 90047-4451
Phone (619) 760-6838
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": "1670889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670889600000",
"number": "1609587369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1658 W 105TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900474451",
"telephone_number": "619-760-6838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8380 CENTER DR STE E",
"city": "LA MESA",
"state": "CA",
"postal_code": "919422952",
"telephone_number": "619-466-6077"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "DEJAN",
"middle_name": "ARMANI",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-12-13",
"last_updated": "2022-12-13",
"certification_date": "2022-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "33414",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.