Active NPI
Gabriela Cervantes
- Massage Therapist
- Costa Mesa, CA
National Provider Identifier
1790545358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 93005
- Practice address
- 2250 Vanguard Way Apt F229
Costa Mesa, CA 92626-6508 - Phone
- (951) 207-7015
- NPI assigned
- Mar 20, 2024
- 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 | 93005 | CA | Primary |
Addresses
Primary practice location
2250 Vanguard Way Apt F229
Costa Mesa, CA 92626-6508
Mailing address
23272 Mill Creek Dr Ste 330
Laguna Hills, CA 92653-1657
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
| License | State | Type | Specialty |
|---|---|---|---|
| 93005 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711411200000",
"number": "1790545358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23272 MILL CREEK DR STE 330",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926531657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2250 VANGUARD WAY APT F229",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926266508",
"telephone_number": "951-207-7015"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CERVANTES",
"first_name": "GABRIELA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-20",
"last_updated": "2024-03-26",
"certification_date": "2024-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "93005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
- Jose E Cerda, PT, DPT
- Valeria Cerda
- Cerritos Reference Laboratories Inc (Innovative Bioanalysis Laboratory)
- Selene Aylene Cervantes-Avina
- Evelyn Jhoana Cervantes, MSW
- Savannah Cervantes
- Xochitl Karely Cervantes
- Cesar a Echeverry DDS Corp (Costa Mesa Family Dental)
- Elizabeth Cespedes
- Alexandra Chacon
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.