Active NPI
Jeanette H Silva
- Massage Therapist
- South Gate, CA
National Provider Identifier
1922744648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 66235
- Practice address
- 10328 Elizabeth Ave
South Gate, CA 90280-5914 - Phone
- (415) 666-6263
- NPI assigned
- May 5, 2022
- Sex
- Female
- 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 | 66235 | CA | Primary |
Addresses
Primary practice location
10328 Elizabeth Ave
South Gate, CA 90280-5914
Mailing address
10328 Elizabeth Ave
South Gate, CA 90280-5914
Phone (415) 666-6263
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 66235 | Other | CA | CALIFORNIA MASSAGE THERAPY COUNCIL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Ca | Health Information Exchange (HIE) |
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 |
|---|---|---|---|
| 66235 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1651708800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1922744648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10328 ELIZABETH AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902805914",
"telephone_number": "415-666-6263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10328 ELIZABETH AVE",
"city": "SOUTH GATE",
"state": "CA",
"postal_code": "902805914",
"telephone_number": "415-666-6263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVA",
"first_name": "JEANETTE",
"middle_name": "H",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-05",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "66235",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CALIFORNIA MASSAGE THERAPY COUNCIL",
"identifier": "66235",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Ca",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "10328 Elizabeth Avenue",
"city": "South Gate",
"state": "CA",
"country_code": "US",
"postal_code": "90280",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in South Gate, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.