Organization Active NPI

Incipe LLC

  • Massage Therapist
  • Palm Desert, CA
National Provider Identifier
1922823608
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
Legal business name
INCIPE LLC
Practice address
74140 El Paseo
Palm Desert, CA 92260-4147
Phone
(808) 269-0927
NPI assigned
Nov 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Jose Gonzalez, CMT/LMT, CPT
Title
Owner
Phone
(808) 269-0927

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X Primary

Addresses

Primary practice location

74140 El Paseo
Palm Desert, CA 92260-4147

Mailing address

62821 Kitetail Dr
Desert Hot Springs, CA 92240-2052
Phone (808) 269-0927

Other practice location 1

66511 Pierson Blvd
Desert Hot Springs, CA 92240-3756
Phone (808) 269-0927

National Provider Directory

National Provider Directory

Locations

66511 Pierson Blvd
Desert Hot Springs, CA 92240
Phone (760) 288-7381

74140 El Paseo
Palm Desert, CA 92260
Phone (808) 269-0927

NPI Registry JSON

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1922823608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62821 KITETAIL DR",
            "city": "DESERT HOT SPRINGS",
            "state": "CA",
            "postal_code": "922402052",
            "telephone_number": "808-269-0927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74140 EL PASEO",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922604147",
            "telephone_number": "808-269-0927"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "66511 Pierson Blvd",
            "address_purpose": "LOCATION",
            "city": "Desert Hot Springs",
            "state": "CA",
            "postal_code": "922403756",
            "country_code": "US",
            "telephone_number": "808-269-0927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INCIPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "GONZALEZ",
        "authorized_official_first_name": "JOSE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "808-269-0927",
        "authorized_official_credential": "CMT/LMT, CPT"
    },
    "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 Palm Desert, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.