Individual provider Active NPI

Roberta Moraes, CMT

  • Massage Therapist
  • Chula Vista, CA
National Provider Identifier
1932711991
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
65398 Issued in CA
Practice address
955 Lane Ave Ste 101
Chula Vista, CA 91914-4525
Phone
(619) 500-4615
Fax
(619) 414-1387
NPI assigned
Aug 20, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 65398 CA Primary

Addresses

Primary practice location

955 Lane Ave Ste 101
Chula Vista, CA 91914-4525

Mailing address

955 Lane Ave Ste 101
Chula Vista, CA 91914-4525
Phone (619) 500-4615

Other identifiers 1

IdentifierTypeStateIssuer
65398OtherCACERTIFICATION/LICENSE NUMBER

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL baarchiro@gmail.com Direct

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
65398CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Brian R Baar Chiropractic Apc Massage Therapist CurrentSince Nov 15, 2020 Accepting new patients

Locations

955 Lane Ave
Ste 101
Chula Vista, CA 91914
Phone (619) 500-4615

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1932711991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 LANE AVE STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-500-4615",
            "fax_number": "619-414-1387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "955 LANE AVE STE 101",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919144525",
            "telephone_number": "619-500-4615",
            "fax_number": "619-414-1387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORAES",
        "first_name": "ROBERTA",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-20",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "65398",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CERTIFICATION/LICENSE NUMBER",
            "identifier": "65398",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "baarchiro@gmail.com",
            "affiliation": "N",
            "endpointDescription": "business encrypted email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "955 Lane Ave Ste 101",
            "city": "Chula Vista",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919144525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

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