Active NPI
Camille Harrison, CMT
- Massage Therapist
- Temecula, CA
National Provider Identifier
1780960211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 5180
- Practice address
- 27450 Ynez Rd
Suite 110-C
Temecula, CA 92591-4671 - Phone
- (951) 836-6446
- NPI assigned
- Oct 28, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 5180 | CA | Primary |
Addresses
Primary practice location
27450 Ynez Rd
Suite 110-C
Temecula, CA 92591-4671
Mailing address
30602 Mira Loma Dr
Temecula, CA 92592-3231
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319760000000",
"number": "1780960211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30602 MIRA LOMA DR",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925923231"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27450 YNEZ RD",
"address_2": "SUITE 110-C",
"city": "TEMECULA",
"state": "CA",
"postal_code": "925914671",
"telephone_number": "951-836-6446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRISON",
"first_name": "CAMILLE",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-10-28",
"last_updated": "2011-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "5180",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Temecula, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.