Individual provider Active NPI

Judith Lorain Mangione, CMP

  • Massage Therapist
  • Ventura, CA
National Provider Identifier
1699240945
Registry record updated Oct 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Practice address
107 Figueroa St
Ventura, CA 93001-2756
Phone
(805) 415-7502
Fax
(805) 641-3887
NPI assigned
Oct 12, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2018

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 Primary

Addresses

Primary practice location

107 Figueroa St
Ventura, CA 93001-2756

Mailing address

340 S Catalina St
Ventura, CA 93001-3629
Phone (805) 415-7502

Other identifiers 1

IdentifierTypeStateIssuer
13360OtherCACALIFORNIA MASSAGE THERAPY COUNCIL

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

NPI Registry JSON

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

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1699240945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 S CATALINA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930013629",
            "telephone_number": "805-415-7502",
            "fax_number": "805-641-3887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 FIGUEROA ST",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930012756",
            "telephone_number": "805-415-7502",
            "fax_number": "805-641-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANGIONE",
        "first_name": "JUDITH",
        "middle_name": "LORAIN",
        "name_prefix": "Mrs.",
        "credential": "CMP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
            "identifier": "13360",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.