Sandra Amalia Duran

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

19005 Issued in CA

Practice address

1455 W Park Ave
Redlands, CA 92373-8178

Phone

(909) 793-2225

Fax

(909) 793-2221

NPI assigned

Feb 26, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Sandra Amalia Leon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Redlands Spine and Sport

  • Sports Physician Chiropractor
  • Redlands, CA
  • NPI 1376812362
  NPD

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

{
    "created_epoch": "1708905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708905600000",
    "number": "1831955012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8012",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905048012",
            "telephone_number": "310-489-7557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 W PARK AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923738178",
            "telephone_number": "909-793-2225",
            "fax_number": "909-793-2221"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28645 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Rancho Palos Verdes",
            "state": "CA",
            "postal_code": "902750811",
            "country_code": "US",
            "telephone_number": "310-241-0947",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DURAN",
        "first_name": "SANDRA",
        "middle_name": "AMALIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-02-26",
        "last_updated": "2024-02-26",
        "certification_date": "2024-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "19005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "LEON",
            "middle_name": "AMALIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kelsea Dunn
• Sierra Dunn, NP
• Dat Tan Duong
• Allen Alexander Duran, NP
• Rebecca Duran, NURSE PRACTITIONER
• Dwe Inc
• Laura Elizabeth Dye, AMFT
• Richelin Veluz Dye, PH.D.
• Dynamic Transformations
• Brittany S Ea, MOT, OTR/L

• Massage Therapist in Redlands, CA
• Providers in Redlands, CA by specialty
• Massage Therapist in California

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

Verify at the official NPI Registry.