Active NPI
Henry Carlos Brown, LMT
- Massage Therapist
- Los Angeles, CA
National Provider Identifier
1720860489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 10410
- Practice address
- 5757 W Century Blvd Ste 719
Los Angeles, CA 90045-6431 - Phone
- (424) 702-5645
- NPI assigned
- Oct 17, 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 | 10410 | CA | Primary |
Addresses
Primary practice location
5757 W Century Blvd Ste 719
Los Angeles, CA 90045-6431
Mailing address
5757 W Century Blvd Ste 719
Los Angeles, CA 90045-6431
Phone (213) 925-5892
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 |
|---|---|---|---|
| 10410 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1697500800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1720860489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5757 W CENTURY BLVD STE 719",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900456431",
"telephone_number": "213-925-5892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5757 W CENTURY BLVD STE 719",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900456431",
"telephone_number": "424-702-5645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "HENRY",
"middle_name": "CARLOS",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-10-17",
"last_updated": "2023-10-17",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "10410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.