Jesse Ian Adams

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

20023 Issued in CA

Practice address

514 S King St
Santa Ana, CA 92704-1603

Phone

(949) 596-5887

NPI assigned

May 19, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1621382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1780258293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S KING ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041603",
            "telephone_number": "949-596-5887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S KING ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927041603",
            "telephone_number": "949-596-5887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADAMS",
        "first_name": "JESSE",
        "middle_name": "IAN",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-19",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "20023",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Heibflagz@gmail.com",
            "affiliation": "N",
            "address_1": "514 S King St",
            "city": "Santa Ana",
            "state": "CA",
            "country_code": "US",
            "postal_code": "927041603",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Thomas Adamo
• Brianna Adams
• Chardonnay Asanti-Lynne Adams
• Jayda Adams
• Jayla Adams
• Jessica Christine Adams, M.S.
• Kimberly Anne Adams
• Rachel Adams, LMFT
• Raymond Michael Adams, DC
• Rebekah Ruth Adams

• Massage Therapist in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.