Individual provider Active NPI

Marla Del Carmen Alvarado, CMT

  • Massage Therapist
  • San Diego, CA
National Provider Identifier
1861133621
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
53211 Issued in CA
Practice address
3960 Marine View Ave
San Diego, CA 92113-4331
Phone
(619) 748-1559
NPI assigned
Apr 5, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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 53211 CA Primary

Addresses

Primary practice location

3960 Marine View Ave
San Diego, CA 92113-4331

Mailing address

3960 Marine View Ave
San Diego, CA 92113-4331
Phone (619) 748-1559

Other identifiers 2

IdentifierTypeStateIssuer
1413310OtherASSOCIATED BODYWORK AND MASSAGE PROFESSIONALS
53211OtherCACALIFORNIA MASSAGE THERAPY COUNCIL

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.gmail.com Direct

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": "1649116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649116800000",
    "number": "1861133621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 MARINE VIEW AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921134331",
            "telephone_number": "619-748-1559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 MARINE VIEW AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921134331",
            "telephone_number": "619-748-1559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALVARADO",
        "first_name": "MARLA",
        "middle_name": "DEL CARMEN",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-05",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "53211",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASSOCIATED BODYWORK AND MASSAGE PROFESSIONALS",
            "identifier": "1413310",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
            "identifier": "53211",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.gmail.com",
            "affiliation": "N",
            "endpointDescription": "direct email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct emails concerning massage",
            "address_1": "3960 Marine View Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921134331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "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 Apr 5, 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.