Active NPI
Jacob Ryan Wainscott, CMT
- Massage Therapist
- Los Angeles, CA
National Provider Identifier
1891475869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 90432
- Practice address
- 2001 S Barrington Ave Ste 101
Los Angeles, CA 90025-5337 - Phone
- (310) 429-9385
- NPI assigned
- Jul 24, 2023
- 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 | 90432 | CA | Primary |
Addresses
Primary practice location
2001 S Barrington Ave Ste 101
Los Angeles, CA 90025-5337
Mailing address
8041 Redlands St Apt 2
Playa del Rey, CA 90293-8356
Phone (760) 382-1090
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 |
|---|---|---|---|
| 90432 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1690156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1891475869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8041 REDLANDS ST APT 2",
"city": "PLAYA DEL REY",
"state": "CA",
"postal_code": "902938356",
"telephone_number": "760-382-1090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2001 S BARRINGTON AVE STE 101",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900255337",
"telephone_number": "310-429-9385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WAINSCOTT",
"first_name": "JACOB",
"middle_name": "RYAN",
"credential": "CMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-24",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "90432",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.