Geraldyn Reyes Bandola Sabalboro, MASSAGE THERAPIST

Primary specialty

Massage TherapistTaxonomy code 225700000X

Practice address

22545 Barton Rd
Suite #107
Grand Terrace, CA 92313-5244

Phone

(909) 583-1267

NPI assigned

Jan 6, 2012

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 24, 2016.

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1902176902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22545 BARTON RD",
            "address_2": "SUITE #107",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135030",
            "telephone_number": "909-583-1267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22545 BARTON RD",
            "address_2": "SUITE #107",
            "city": "GRAND TERRACE",
            "state": "CA",
            "postal_code": "923135244",
            "telephone_number": "909-583-1267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABALBORO",
        "first_name": "GERALDYN",
        "middle_name": "REYES BANDOLA",
        "name_prefix": "Mrs.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-06",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside-San Bernardino County Indian Health, Inc.
• Riverside-San Bernardino County Indian Health, Inc.
• Riverside-San Bernardino County Indian Health, Inc.
• Lynette J. Rivinius, RN, MS, CNS, CDE
• Cristina Rodriguez
• Michelle Sabino, MS, CCC-SLP
• Jalal Elias Saddi
• Wendy Yanira Saldana, SLPA
• Betty M Sanabria
• Sarah Frances Sayegh, M.S. SLP

• All providers in Grand Terrace, CA
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.