Deanna Martin, CMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

158546 Issued in CA

Practice address

18333 Dolan Way Ste 204
Canyon Country, CA 91387-5423

Phone

(310) 890-4784

NPI assigned

Jan 16, 2024

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

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

{
    "created_epoch": "1705363200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1689435885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18333 DOLAN WAY STE 204",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913875423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18333 DOLAN WAY STE 204",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913875423",
            "telephone_number": "310-890-4784"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29211 Avenida Avila",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913541582",
            "country_code": "US",
            "telephone_number": "310-890-4784",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARTIN",
        "first_name": "DEANNA",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-01-16",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "158546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nihal N Makhyoun, M.S.,LMFT
• Jahangir Malekniazi, L.AC.
• Rev Andrew Manalang
• Amanda Markovich, MSW. PPSC. CWA.
• Martin Strassner DDS a Prof Corp
• Crystal V Martinez, ASW
• Armand Tigbao Masongsong, M.D.
• Martina Barte Masongsong, M.D.
• Masrour & Harouni Chiropractic, Inc.
• Julie Camilla Masson, WHNP-BC

• Massage Therapist in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.