Active NPI
Narran Wongwatanavikrom
- Massage Therapist
- Oceanside, CA
National Provider Identifier
1942014253
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 97982
- Practice address
- 4369 Pacifica Way Unit 7
Oceanside, CA 92056-5778 - Phone
- (619) 859-5955
- NPI assigned
- Feb 5, 2025
- 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 | 97982 | CA | Primary |
Addresses
Primary practice location
4369 Pacifica Way Unit 7
Oceanside, CA 92056-5778
Mailing address
4369 Pacifica Way Unit 7
Oceanside, CA 92056-5778
Phone (619) 859-5955
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": "1738713600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738713600000",
"number": "1942014253",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4369 PACIFICA WAY UNIT 7",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920565778",
"telephone_number": "619-859-5955"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4369 PACIFICA WAY UNIT 7",
"city": "OCEANSIDE",
"state": "CA",
"postal_code": "920565778",
"telephone_number": "619-859-5955"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WONGWATANAVIKROM",
"first_name": "NARRAN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-02-05",
"last_updated": "2025-02-05",
"certification_date": "2025-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "97982",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oceanside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.