Victoria Priscilla Clark, LMT/CMLDT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

84484 Issued in CA

Practice address

333 S Arroyo Pkwy FL 3
Pasadena, CA 91105-2581

Phone

(818) 693-0774

NPI assigned

May 24, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cfi Medical Group

  • Massage Therapist
  • Pasadena, CA
  • NPI 1083306252
  NPD

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

{
    "created_epoch": "1684886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684886400000",
    "number": "1659063907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E GREEN ST UNIT 416",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911015434",
            "telephone_number": "818-693-0774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 S ARROYO PKWY FL 3",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911052581",
            "telephone_number": "818-693-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLARK",
        "first_name": "VICTORIA",
        "middle_name": "PRISCILLA",
        "credential": "LMT/CMLDT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-05-24",
        "last_updated": "2023-05-24",
        "certification_date": "2023-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "84484",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Myrakle D'Anna Clark
• Najee Jordan Clark
• Pamela Clark, M.D.
• Serenah Valkyrie Chalearnson Clark
• Sherrye Teresa Clark
• Brian Laurence Clarke, MS, MFT
• Kelsey Clarke
• Melencio Libardo Claros
• Shaina Marie Clasberry
• Classic Wave Corporation

• Massage Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 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.