NPIMap

Organization Active NPI

Balance Studio Spa

  • Point of Service
  • Felton, CA
National Provider Identifier
1891005088
Registry record updated Oct 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
License
11856 Issued in CA
Legal business name
BALANCE STUDIO SPA
Practice address
912 Lakeside Dr
Felton, CA 95018-9648
Phone
(831) 335-8335
NPI assigned
Oct 20, 2010
Last updated
Oct 20, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2010

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

Authorized official

Name
Ms. Melissa Ann Stone
Title
Owner/Massage Theripist
Phone
(831) 335-8335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Point of Service 305S00000X 11856 CA Primary

Addresses

Primary practice location

912 Lakeside Dr
Felton, CA 95018-9648

Mailing address

912 Lakeside Dr
Felton, CA 95018-9648
Phone (831) 335-8335

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287532800000",
    "number": "1891005088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 LAKESIDE DR",
            "city": "FELTON",
            "state": "CA",
            "postal_code": "950189648",
            "telephone_number": "831-335-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 LAKESIDE DR",
            "city": "FELTON",
            "state": "CA",
            "postal_code": "950189648",
            "telephone_number": "831-335-8335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCE STUDIO SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2010-10-20",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER/MASSAGE THERIPIST",
        "authorized_official_telephone_number": "831-335-8335",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": "CA",
            "license": "11856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Felton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2010; 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.