Individual provider Active NPI

Marianna Anderson, CMT

  • Massage Therapist
  • Laguna Hills, CA
National Provider Identifier
1720848393
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
76042 Issued in CA
Practice address
23272 Mill Creek Dr Ste 330
Laguna Hills, CA 92653-1657
Phone
(949) 903-0535
NPI assigned
Mar 20, 2024
Last updated
Mar 20, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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 76042 CA Primary

Addresses

Primary practice location

23272 Mill Creek Dr Ste 330
Laguna Hills, CA 92653-1657

Mailing address

23272 Mill Creek Dr Ste 330
Laguna Hills, CA 92653-1657
Phone (949) 903-0535

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

LicenseStateTypeSpecialty
76042CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lymph Bright Massage Therapist CurrentSince Mar 31, 2024 Accepting new patients

Locations

23272 Mill Creek Dr
Ste 330
Laguna Hills, CA 92653
Phone (949) 322-7981

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1720848393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23272 MILL CREEK DR STE 330",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531657",
            "telephone_number": "949-903-0535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23272 MILL CREEK DR STE 330",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926531657",
            "telephone_number": "949-903-0535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "MARIANNA",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "76042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.