Active NPI
Gina Wael Ghattas, LMT
- Massage Therapist
- Rancho Cucamonga, CA
National Provider Identifier
1942967138
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- Practice address
- 9033 Baseline Rd Ste N
Rancho Cucamonga, CA 91730-1215 - Phone
- (909) 296-5105
- NPI assigned
- Nov 22, 2021
- 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 | Primary |
Addresses
Primary practice location
9033 Baseline Rd Ste N
Rancho Cucamonga, CA 91730-1215
Mailing address
9033 Baseline Rd Ste N
Rancho Cucamonga, CA 91730-1215
Phone (909) 296-5105
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": "1637539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1637539200000",
"number": "1942967138",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9033 BASELINE RD STE N",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301215",
"telephone_number": "909-296-5105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9033 BASELINE RD STE N",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917301215",
"telephone_number": "909-296-5105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GHATTAS",
"first_name": "GINA",
"middle_name": "WAEL",
"credential": "LMT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-11-22",
"last_updated": "2021-11-22",
"certification_date": "2021-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.