Takiesha Indigo Melendez, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

70065 Issued in CA

Practice address

11400 W Olympic Blvd Ste 200
Los Angeles, CA 90064-1584

Phone

(800) 965-6024

NPI assigned

Sep 9, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Indigo Melendez Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bridgeroot LLC

  • Massage Therapist
  • Los Angeles, CA
  • NPI 1184346884
  NPD Authorized official

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

{
    "created_epoch": "1662681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662681600000",
    "number": "1811618523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6104 SEPULVEDA BLVD # 1024",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112503",
            "telephone_number": "646-833-6331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11400 W OLYMPIC BLVD STE 200",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900641584",
            "telephone_number": "800-965-6024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MELENDEZ",
        "first_name": "TAKIESHA",
        "middle_name": "INDIGO",
        "credential": "LMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-09",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "70065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDIGO",
            "last_name": "MELENDEZ",
            "credential": "LMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Alezaihvia Melendez
• Brianna Celest Melendez
• Jessica L Melendez
• Maria Melendez
• Mireya Melendez
• Vanessa Melendez
• Martha I Melendrez Espinoza
• Delia Giselle Melendrez
• Marc Lee Macalalag Melendrez, FNP-C
• Marie Melendrez, NP

• Massage Therapist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.

Verify at the official NPI Registry.