Organization Active NPI

Annette Champo, CLMT

  • Massage Therapist
  • Pasadena, CA
National Provider Identifier
1912032665
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
ANNETTE CHAMPO, CLMT
Practice address
936 E Green St
Suite 106
Pasadena, CA 91106-2900
Phone
(626) 744-1501
NPI assigned
Feb 22, 2007
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Annette Champo, MASSAGE THERAPISTNPI 1518092444
Title
Owner
Phone
(626) 744-1501

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: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

936 E Green St
Suite 106
Pasadena, CA 91106-2900

Mailing address

936 E Green St
Suite 106
Pasadena, CA 91106-2900
Phone (626) 744-1501

National Provider Directory

National Provider Directory

Locations

936 E Green St
Ste 106
Pasadena, CA 91106
Phone (626) 590-3026

Practitioners & affiliated clinicians

Practitioners 1

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": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912032665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "936 E GREEN ST",
            "address_2": "SUITE 106",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062900",
            "telephone_number": "626-744-1501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "936 E GREEN ST",
            "address_2": "SUITE 106",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911062900",
            "telephone_number": "626-744-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANNETTE CHAMPO, CLMT",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHAMPO",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-744-1501",
        "authorized_official_credential": "MASSAGE THERAPIST"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.