Individual provider Active NPI

Rosemary C Robertson, MASSAGE, HHP

  • Reflexologist
  • San Diego, CA
National Provider Identifier
1912255175
Registry record updated Aug 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ReflexologistTaxonomy code 173C00000X
License
593609 Issued in CA
Practice address
3960 Park Blvd
San Diego, CA 92103-3570
Phone
(619) 218-2239
NPI assigned
Aug 20, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reflexologist 173C00000X 593609 CA Primary

Addresses

Primary practice location

3960 Park Blvd
San Diego, CA 92103-3570

Mailing address

3960 Park Blvd
San Diego, CA 92103-3570
Phone (619) 218-2239

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

LicenseStateTypeSpecialty
593609CAMDReflexologist

NPI Registry JSON

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

{
    "created_epoch": "1345420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1345420800000",
    "number": "1912255175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3960 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033570",
            "telephone_number": "619-218-2239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3960 PARK BLVD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921033570",
            "telephone_number": "619-218-2239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "ROSEMARY",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "MASSAGE, HHP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-20",
        "last_updated": "2012-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173C00000X",
            "taxonomy_group": "",
            "desc": "Reflexologist",
            "state": "CA",
            "license": "593609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2012; 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.