Active NPI
Jennica Anne Galvan
- Massage Therapist
- Beverly Hills, CA
National Provider Identifier
1720802978
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 45413
- Practice address
- 460 N Palm Dr Apt 307
Beverly Hills, CA 90210-4256 - Phone
- (818) 482-9475
- NPI assigned
- Nov 14, 2024
- Sex
- Female
- 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 | 45413 | CA | Primary |
Addresses
Primary practice location
460 N Palm Dr Apt 307
Beverly Hills, CA 90210-4256
Mailing address
460 N Palm Dr Apt 307
Beverly Hills, CA 90210-4256
Phone (818) 482-9475
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 |
|---|---|---|---|
| 45413 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1731542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731542400000",
"number": "1720802978",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "460 N PALM DR APT 307",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104256",
"telephone_number": "818-482-9475"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 N PALM DR APT 307",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104256",
"telephone_number": "818-482-9475"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALVAN",
"first_name": "JENNICA",
"middle_name": "ANNE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-11-14",
"last_updated": "2024-11-14",
"certification_date": "2024-11-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "45413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.