Active NPI
Wattana Atchariyawong
- Massage Therapist
- Sherman Oaks, CA
National Provider Identifier
1841875622
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 71017
- Practice address
- 13509 Ventura Blvd
Sherman Oaks, CA 91423-3877 - Phone
- (818) 929-9562
- NPI assigned
- Mar 14, 2021
- Sex
- Male
- 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 | 71017 | CA | Primary |
Addresses
Primary practice location
13509 Ventura Blvd
Sherman Oaks, CA 91423-3877
Mailing address
13509 Ventura Blvd
Sherman Oaks, CA 91423-3877
Phone (818) 929-9562
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615680000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615680000000",
"number": "1841875622",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13509 VENTURA BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233877",
"telephone_number": "818-929-9562"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13509 VENTURA BLVD",
"city": "SHERMAN OAKS",
"state": "CA",
"postal_code": "914233877",
"telephone_number": "818-929-9562"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ATCHARIYAWONG",
"first_name": "WATTANA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-03-14",
"last_updated": "2021-03-14",
"certification_date": "2021-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "71017",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman Oaks, CA
- Alicia Aslanyan
- Aspera Home Health Care, Inc
- Associated Home Health, Inc.
- Astra Home Health Care, Inc.
- Atalie Abramovici Marriage and Family Therapy, Inc.
- Jessica Lynn Atkins
- Andrea Aucoin, PH.D.
- Audiology & Hearing Aid Consultants Inc.
- Audiology and Hearing Aid Consultants
- Auditory Processing Centers Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.