Individual provider Active NPI

Gustavo Adolfo Ardon

  • Massage Therapist
  • Pico Rivera, CA
National Provider Identifier
1831691047
Registry record updated Mar 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
59546 Issued in CA
Practice address
8539 Beverly Park PL
Pico Rivera, CA 90660-1920
Phone
(323) 742-0390
NPI assigned
Mar 3, 2018
Last updated
Mar 3, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2018

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 59546 CA Primary

Addresses

Primary practice location

8539 Beverly Park PL
Pico Rivera, CA 90660-1920

Mailing address

8539 Beverly Park PL
Pico Rivera, CA 90660-1920
Phone (323) 742-0390

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
59546CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1520035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520035200000",
    "number": "1831691047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8539 BEVERLY PARK PL",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601920",
            "telephone_number": "323-742-0390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8539 BEVERLY PARK PL",
            "city": "PICO RIVERA",
            "state": "CA",
            "postal_code": "906601920",
            "telephone_number": "323-742-0390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARDON",
        "first_name": "GUSTAVO",
        "middle_name": "ADOLFO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-03-03",
        "last_updated": "2018-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "59546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pico Rivera, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2018; 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.