Individual provider Active NPI

Olena Velykanova

  • Massage Therapist
  • San Juan Capistrano, CA
National Provider Identifier
1871484303
Registry record updated Jul 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
59538 Issued in CA
Practice address
27001 Paseo Activo
San Juan Capistrano, CA 92675-5031
Phone
(786) 400-5319
NPI assigned
Jul 12, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2025

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 59538 CA Primary

Addresses

Primary practice location

27001 Paseo Activo
San Juan Capistrano, CA 92675-5031

Mailing address

27001 Paseo Activo
San Juan Capistrano, CA 92675-5031

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
59538CAMDMassage Therapist

NPI Registry JSON

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

{
    "created_epoch": "1752278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752278400000",
    "number": "1871484303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27001 PASEO ACTIVO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27001 PASEO ACTIVO",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926755031",
            "telephone_number": "786-400-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELYKANOVA",
        "first_name": "OLENA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-07-12",
        "last_updated": "2025-07-12",
        "certification_date": "2025-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "59538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Juan Capistrano, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2025; 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.