Individual provider Active NPI

Miyako Ehara, CMT

  • Massage Therapist
  • San Francisco, CA
National Provider Identifier
1760759666
Registry record updated Nov 20, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
16400 Issued in CA
Practice address
1600 Portola Dr
San Francisco, CA 94127-1405
Phone
(415) 994-7269
NPI assigned
Nov 20, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2011

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 16400 CA Primary

Addresses

Primary practice location

1600 Portola Dr
San Francisco, CA 94127-1405

Mailing address

1600 Portola Dr
San Francisco, CA 94127-1405

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
16400CAMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1321747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321747200000",
    "number": "1760759666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 PORTOLA DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 PORTOLA DR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941271405",
            "telephone_number": "415-994-7269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EHARA",
        "first_name": "MIYAKO",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-20",
        "last_updated": "2011-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "16400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2011; 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.