Individual provider Active NPI

Izzat Saleh Aljumaie

  • Massage Therapist
  • Citrus Heights, CA
National Provider Identifier
1760016166
Registry record updated Feb 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
76392 Issued in CA
Practice address
7509 Madison Ave Ste 114
Citrus Heights, CA 95610-7464
Phone
(916) 314-7172
NPI assigned
Feb 25, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2020

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 76392 CA Primary

Addresses

Primary practice location

7509 Madison Ave Ste 114
Citrus Heights, CA 95610-7464

Mailing address

5425 Garfield Ave Apt 146
Sacramento, CA 95841-2851
Phone (916) 519-5992

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
76392CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1582588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1760016166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 GARFIELD AVE APT 146",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958412851",
            "telephone_number": "916-519-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 MADISON AVE STE 114",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107464",
            "telephone_number": "916-314-7172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALJUMAIE",
        "first_name": "IZZAT",
        "middle_name": "SALEH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-02-25",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "76392",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Citrus Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.