Individual provider Active NPI

Natthanan Thirarutnalinthana

  • Massage Therapist
  • Tarzana, CA
National Provider Identifier
1659097210
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
71717 Issued in CA
Practice address
18910 Ventura Blvd
Tarzana, CA 91356-2024
Phone
(619) 964-5169
NPI assigned
Oct 17, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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 71717 CA Primary

Addresses

Primary practice location

18910 Ventura Blvd
Tarzana, CA 91356-2024

Mailing address

4750 Kester Ave Apt 24
Sherman Oaks, CA 91403-2024
Phone (619) 964-5169

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

LicenseStateTypeSpecialty
71717CAMDOncology Pharmacist

NPI Registry JSON

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

{
    "created_epoch": "1665964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1659097210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4750 KESTER AVE APT 24",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914032024",
            "telephone_number": "619-964-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18910 VENTURA BLVD",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913562024",
            "telephone_number": "619-964-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIRARUTNALINTHANA",
        "first_name": "NATTHANAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-17",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "71717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.