NPIMap

Organization Active NPI

Ebonee'S Massage Mecca

  • Massage Therapist
  • Stockton, CA
National Provider Identifier
1639629355
Registry record updated Oct 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
482 Issued in CA
Legal business name
EBONEE'S MASSAGE MECCA
Practice address
1150 W Robinhood Dr
Suite 5a
Stockton, CA 95207-5624
Phone
(209) 910-0226
NPI assigned
Oct 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ebonee Taylor, LMTNPI 1629528427
Title
Owner
Phone
(209) 910-0226

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X 482 CA Primary

Addresses

Primary practice location

1150 W Robinhood Dr
Suite 5a
Stockton, CA 95207-5624

Mailing address

1150 W Robinhood Dr
Suite 5a
Stockton, CA 95207-5624
Phone (209) 910-0226

National Provider Directory

National Provider Directory

Locations

1150 W Robinhood Dr
Ste 5A
Stockton, CA 95207
Phone (209) 910-0226

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1475625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1475625600000",
    "number": "1639629355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 W ROBINHOOD DR",
            "address_2": "SUITE 5A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075624",
            "telephone_number": "209-910-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 W ROBINHOOD DR",
            "address_2": "SUITE 5A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075624",
            "telephone_number": "209-910-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EBONEE'S MASSAGE MECCA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-05",
        "last_updated": "2016-10-05",
        "status": "A",
        "authorized_official_last_name": "TAYLOR",
        "authorized_official_first_name": "EBONEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-910-0226",
        "authorized_official_credential": "LMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2016; 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.