Active NPI
Hugo Carreon
- Massage Therapist
- San Diego, CA
National Provider Identifier
1932792942
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 25326
- Practice address
- 3446 Park Blvd # 201
San Diego, CA 92103-5209 - Phone
- (619) 318-6102
- NPI assigned
- Feb 19, 2021
- Last updated
- Feb 24, 2021
- Sex
- Male
- 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 | 25326 | CA | Primary |
Addresses
Primary practice location
3446 Park Blvd # 201
San Diego, CA 92103-5209
Mailing address
3776 1St Ave Apt C
San Diego, CA 92103-4030
Phone (619) 318-6102
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A3118772 | Other | CA | WORKMENS COMPS |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1613692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614124800000",
"number": "1932792942",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3776 1ST AVE APT C",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034030",
"telephone_number": "619-318-6102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3446 PARK BLVD # 201",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921035209",
"telephone_number": "619-318-6102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARREON",
"first_name": "HUGO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-02-19",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "25326",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WORKMENS COMPS",
"identifier": "A3118772",
"state": "CA"
}
],
"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 Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.