Individual provider Active NPI

Kehau Napualani Rebolledo

  • Massage Therapist
  • Huntington Beach, CA
National Provider Identifier
1740176734
Registry record updated Jun 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
40201 Issued in CA
Practice address
18351 Beach Blvd Ste B
Huntington Beach, CA 92648-1346
Phone
(714) 913-3310
NPI assigned
Jun 16, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2025

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 40201 CA Primary

Addresses

Primary practice location

18351 Beach Blvd Ste B
Huntington Beach, CA 92648-1346

Mailing address

1710 California St Apt 4
Huntington Beach, CA 92648-3148
Phone (619) 990-9777

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
40201CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Beyond Foundation CurrentSince Jun 23, 2025 Accepting new patients
Pain Stress Anxiety Acupuncture Professional Corp CurrentSince Jun 23, 2025 Accepting new patients

Locations

18351 Beach Blvd
Ste B
Huntington Beach, CA 92648
Phone (714) 913-3310

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1750032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750032000000",
    "number": "1740176734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 CALIFORNIA ST APT 4",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926483148",
            "telephone_number": "619-990-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18351 BEACH BLVD STE B",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481346",
            "telephone_number": "714-913-3310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOLLEDO",
        "first_name": "KEHAU",
        "middle_name": "NAPUALANI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-16",
        "last_updated": "2025-06-16",
        "certification_date": "2025-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "40201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; 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.