Active NPI
Jim Saccomanno, JIM SACCOMANNO, CMT
- Reflexologist
- Grass Valley, CA
National Provider Identifier
1740504281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Reflexologist
- Practice address
- 13851 Saddle Back Rd
Grass Valley, CA 95945 - Phone
- (530) 272-2630
- NPI assigned
- Mar 25, 2010
- 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 |
|---|---|---|---|---|
| Reflexologist | 173C00000X | CA | Primary |
Addresses
Primary practice location
13851 Saddle Back Rd
Grass Valley, CA 95945
Mailing address
PO Box 515
Cedar Ridge, CA 95924-0515
Phone (530) 272-2630
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": "1269475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1269475200000",
"number": "1740504281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 515",
"city": "CEDAR RIDGE",
"state": "CA",
"postal_code": "959240515",
"telephone_number": "530-272-2630"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13851 SADDLE BACK RD",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "95945",
"telephone_number": "530-272-2630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SACCOMANNO",
"first_name": "JIM",
"credential": "JIM SACCOMANNO, CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-03-25",
"last_updated": "2010-03-25",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.