Organization Active NPI

Shenyang Massage and Wellness

  • Massage Therapist
  • Norco, CA
National Provider Identifier
1891687844
Registry record updated Jul 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
SHENYANG MASSAGE AND WELLNESS
Practice address
2420 River Rd Ste 230-629
Norco, CA 92860-2268
Phone
(951) 870-7034
NPI assigned
Jul 16, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2025

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

Authorized official

Name
Mr. Kevin James Keller, CMTNPI 1457243149
Title
Ceo
Phone
(951) 870-7034

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

2420 River Rd Ste 230-629
Norco, CA 92860-2268

Mailing address

2420 River Rd Ste 230-629
Norco, CA 92860-2268
Phone (951) 870-7034

National Provider Directory

National Provider Directory

Locations

2420 River Rd
Ste 230629
Norco, CA 92860
Phone (951) 870-7034

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1752624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752624000000",
    "number": "1891687844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 RIVER RD STE 230-629",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602268",
            "telephone_number": "951-870-7034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 RIVER RD STE 230-629",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928602268",
            "telephone_number": "951-870-7034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHENYANG MASSAGE AND WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-16",
        "last_updated": "2025-07-16",
        "certification_date": "2025-07-15",
        "status": "A",
        "authorized_official_last_name": "KELLER",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "951-870-7034",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CMT"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.