Active NPI
Gabriella Korio
- Massage Therapist
- San Diego, CA
National Provider Identifier
1861022287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 91464
- Practice address
- 3911 Fifth Ave Ste 208
San Diego, CA 92103-3146 - Phone
- (818) 932-7323
- NPI assigned
- Jan 24, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | |||
| Massage Therapist | 225700000X | 91464 | CA | Primary |
Addresses
Primary practice location
3911 Fifth Ave Ste 208
San Diego, CA 92103-3146
Mailing address
3911 Fifth Ave Ste 208
San Diego, CA 92103-3146
Phone (818) 932-7323
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
| License | State | Type | Specialty |
|---|---|---|---|
| 91464 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579824000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704844800000",
"number": "1861022287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3911 FIFTH AVE STE 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033146",
"telephone_number": "818-932-7323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3911 FIFTH AVE STE 208",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921033146",
"telephone_number": "818-932-7323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORIO",
"first_name": "GABRIELLA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-01-24",
"last_updated": "2024-01-10",
"certification_date": "2024-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "91464",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 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.