Active NPI
Reynda J King
- Massage Therapist
- Hawthorne, CA
National Provider Identifier
1669143830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15480
- Practice address
- 12816 Inglewood Ave # 318
Hawthorne, CA 90250-5118 - Phone
- (424) 391-0886
- NPI assigned
- Sep 27, 2021
- Sex
- Female
- Sole proprietor
- No
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 | 15480 | CA | Primary |
Addresses
Primary practice location
12816 Inglewood Ave # 318
Hawthorne, CA 90250-5118
Mailing address
12816 Inglewood Ave # 318
Hawthorne, CA 90250-5118
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 |
|---|---|---|---|
| 15480 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651622400000",
"number": "1669143830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12816 INGLEWOOD AVE # 318",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505118"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12816 INGLEWOOD AVE # 318",
"city": "HAWTHORNE",
"state": "CA",
"postal_code": "902505118",
"telephone_number": "424-391-0886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KING",
"first_name": "REYNDA",
"middle_name": "J",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-27",
"last_updated": "2022-05-04",
"certification_date": "2022-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "15480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hawthorne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 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.