Individual provider Active NPI

Ioulia Korobkova, CMT

  • Massage Therapist
  • Sunnyvale, CA
National Provider Identifier
1972993236
Registry record updated Jan 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
32930 Issued in CA
Practice address
833 Azure St
Sunnyvale, CA 94087-1410
Phone
(408) 505-3674
NPI assigned
Jan 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 32930 CA Primary

Addresses

Primary practice location

833 Azure St
Sunnyvale, CA 94087-1410

Mailing address

833 Azure St
Sunnyvale, CA 94087-1410
Phone (408) 505-3674

Other identifiers 1

IdentifierTypeStateIssuer
32930OtherCACMT

Other names 1

  • Julia Korobkova Professional name

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

LicenseStateTypeSpecialty
32930CAMDPsychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1972993236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "833 AZURE ST",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871410",
            "telephone_number": "408-505-3674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "833 AZURE ST",
            "city": "SUNNYVALE",
            "state": "CA",
            "postal_code": "940871410",
            "telephone_number": "408-505-3674"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOROBKOVA",
        "first_name": "IOULIA",
        "name_prefix": "Mrs.",
        "credential": "CMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "32930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMT",
            "identifier": "32930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JULIA",
            "last_name": "KOROBKOVA",
            "credential": "CMT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Sunnyvale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.