Individual provider Active NPI

Amanda Karg, CMT, NMT

  • Massage Therapist
  • Los Angeles, CA
National Provider Identifier
1801412168
Registry record updated Jun 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
75588 Issued in CA
Practice address
1006 S Orlando Ave
Los Angeles, CA 90035-2537
Phone
(831) 246-2892
NPI assigned
Jun 23, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2020

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 75588 CA Primary

Addresses

Primary practice location

1006 S Orlando Ave
Los Angeles, CA 90035-2537

Mailing address

1006 S Orlando Ave
Los Angeles, CA 90035-2537
Phone (831) 246-2892

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
75588CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592870400000",
    "number": "1801412168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1006 S ORLANDO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352537",
            "telephone_number": "831-246-2892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 S ORLANDO AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900352537",
            "telephone_number": "831-246-2892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARG",
        "first_name": "AMANDA",
        "credential": "CMT, NMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-23",
        "last_updated": "2020-06-23",
        "certification_date": "2020-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "75588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; 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.