Individual provider Active NPI

Bianca Selenne Wootress

  • Massage Therapist
  • La Jolla, CA
National Provider Identifier
1750237160
Registry record updated Mar 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
86189 Issued in CA
Practice address
5560 La Jolla Blvd Ste B
La Jolla, CA 92037-7650
Phone
(619) 799-5508
NPI assigned
Mar 9, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2026

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 86189 CA Primary

Addresses

Primary practice location

5560 La Jolla Blvd Ste B
La Jolla, CA 92037-7650

Mailing address

5560 La Jolla Blvd Ste B
La Jolla, CA 92037-7650
Phone (619) 799-5508

Other names 1

  • Bianca Selenne Torres Hidalgo Former name

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
86189CAMDPharmacist

NPI Registry JSON

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773014400000",
    "number": "1750237160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5560 LA JOLLA BLVD STE B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377650",
            "telephone_number": "619-799-5508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5560 LA JOLLA BLVD STE B",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920377650",
            "telephone_number": "619-799-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOOTRESS",
        "first_name": "BIANCA",
        "middle_name": "SELENNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-03-09",
        "certification_date": "2026-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "86189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BIANCA",
            "last_name": "TORRES HIDALGO",
            "middle_name": "SELENNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2026; 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.