Active NPI
Roberta Moraes, CMT
- Massage Therapist
- Chula Vista, CA
National Provider Identifier
1932711991
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 65398
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 65398 | Other | CA | CERTIFICATION/LICENSE NUMBER |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 65398 | CA | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian R Baar Chiropractic Apc | Massage Therapist | Current | 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.