Active NPI
Paul Wellin, CAMT, M.A.
- Massage Therapist
- Poway, CA
National Provider Identifier
1942857198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 8443
- Practice address
- 12455 Poway Rd
Poway, CA 92064-4320 - Phone
- (858) 679-5544
- NPI assigned
- Aug 22, 2019
- Last updated
- Aug 22, 2019
- 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 | 8443 | CA | Primary |
Addresses
Primary practice location
12455 Poway Rd
Poway, CA 92064-4320
Mailing address
10708 Elderwood LN
San Diego, CA 92131-1540
Phone (858) 222-4961
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8443 | CA | MD | Massage Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566432000000",
"number": "1942857198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10708 ELDERWOOD LN",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921311540",
"telephone_number": "858-222-4961"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12455 POWAY RD",
"city": "POWAY",
"state": "CA",
"postal_code": "920644320",
"telephone_number": "858-679-5544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WELLIN",
"first_name": "PAUL",
"credential": "CAMT, M.A.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-22",
"last_updated": "2019-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "8443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.