Active NPI
Justin Daniel Samadani, CMT
- Massage Therapist
- Menlo Park, CA
National Provider Identifier
1699556365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 85947
- Practice address
- 2345 Sharon Rd
Menlo Park, CA 94025-6807 - Phone
- (650) 309-6126
- NPI assigned
- Oct 10, 2023
- Last updated
- Oct 10, 2023
- Sex
- Male
- 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 | 85947 | CA | Primary |
Addresses
Primary practice location
2345 Sharon Rd
Menlo Park, CA 94025-6807
Mailing address
2345 Sharon Rd
Menlo Park, CA 94025-6807
Phone (650) 309-6126
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": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696896000000",
"number": "1699556365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2345 SHARON RD",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256807",
"telephone_number": "650-309-6126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2345 SHARON RD",
"city": "MENLO PARK",
"state": "CA",
"postal_code": "940256807",
"telephone_number": "650-309-6126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAMADANI",
"first_name": "JUSTIN",
"middle_name": "DANIEL",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-10",
"last_updated": "2023-10-10",
"certification_date": "2022-09-19",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "85947",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Menlo Park, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.