Active NPI
Georgina Mejia
- Massage Therapist
- Encino, CA
National Provider Identifier
1659088219
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 82610
- Practice address
- 17000 Ventura Blvd Ste 100B
Encino, CA 91316-4109 - Phone
- (818) 302-5752
- NPI assigned
- Nov 3, 2022
- Sex
- Female
- 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 | 82610 | CA | Primary |
Addresses
Primary practice location
17000 Ventura Blvd Ste 100B
Encino, CA 91316-4109
Mailing address
12700 Van Nuys Blvd Apt 300
Pacoima, CA 91331-1625
Phone (818) 671-8869
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82610 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1667433600000",
"number": "1659088219",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12700 VAN NUYS BLVD APT 300",
"city": "PACOIMA",
"state": "CA",
"postal_code": "913311625",
"telephone_number": "818-671-8869"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17000 VENTURA BLVD STE 100B",
"city": "ENCINO",
"state": "CA",
"postal_code": "913164109",
"telephone_number": "818-302-5752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEJIA",
"first_name": "GEORGINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2022-11-03",
"certification_date": "2022-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "82610",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 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.