Active NPI
Gary Duprat
- Massage Therapist
- McKinleyville, CA
National Provider Identifier
1790437457
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 3197
- Practice address
- 3295 Barnett Ave # B
McKinleyville, CA 95519-9346 - Phone
- (760) 579-3934
- NPI assigned
- Jan 24, 2022
- Last updated
- Feb 14, 2022
- Sex
- Male
- 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 | 3197 | CA | Primary |
Addresses
Primary practice location
3295 Barnett Ave # B
McKinleyville, CA 95519-9346
Mailing address
PO Box 93
Trinidad, CA 95570-0093
Phone (760) 579-3934
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": "1642982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644796800000",
"number": "1790437457",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 93",
"city": "TRINIDAD",
"state": "CA",
"postal_code": "955700093",
"telephone_number": "760-579-3934"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 BARNETT AVE # B",
"city": "MCKINLEYVILLE",
"state": "CA",
"postal_code": "955199346",
"telephone_number": "760-579-3934"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUPRAT",
"first_name": "GARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-01-24",
"last_updated": "2022-02-14",
"certification_date": "2022-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "3197",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in McKinleyville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.