Advanced Bodyworks of California, Inc.

Primary specialty

Massage TherapistTaxonomy code 225700000X

Legal business name

ADVANCED BODYWORKS OF CALIFORNIA, INC.

Practice address

222 N Mountain Ave Ste 210a
Upland, CA 91786-5714

Phone

(833) 473-2233

NPI assigned

Aug 9, 2022

Last updated

Mar 16, 2023By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Rossana Diaz, CMT, MMPNPI 1205562402

Title

President

Phone

(626) 905-6330

Specialties & licenses 1

Addresses

Other names 1

• Inner Peace Bodyworks, Inc Former legal business name

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rossana Diaz, LE, CMT, MMP

  • Massage Therapist
  • Upland, CA
  • NPI 1205562402
  NPD Authorized official
• Ikaikaokalani Low, CMT, MMP

  • Massage Therapist
  • Upland, CA
  • NPI 1457087314
  NPD (past)

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1750019865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE STE 210A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865714",
            "telephone_number": "833-473-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N MOUNTAIN AVE STE 210A",
            "city": "UPLAND",
            "state": "CA",
            "postal_code": "917865714",
            "telephone_number": "833-473-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED BODYWORKS OF CALIFORNIA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-09",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "ROSSANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "626-905-6330",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CMT, MMP"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Inner Peace Bodyworks, Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Massage Therapist in Upland, CA
• Providers in Upland, CA by specialty
• Massage Therapist in California

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

Verify at the official NPI Registry.