Individual provider Active NPI

Jeanette Abigail Saucedo

  • Massage Therapist
  • Chula Vista, CA
National Provider Identifier
1982219994
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
59879 Issued in CA
Practice address
1227 Third Ave
Chula Vista, CA 91911-3202
Phone
(619) 796-8950
NPI assigned
Sep 15, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 59879 CA Primary

Addresses

Primary practice location

1227 Third Ave
Chula Vista, CA 91911-3202

Mailing address

9203 Harness St
Spring Valley, CA 91977-4211
Phone (619) 796-8950

Other identifiers 1

IdentifierTypeStateIssuer
0012086125OtherCAKAISER PERMANENTE

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Clientupdates Other

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": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1982219994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9203 HARNESS ST",
            "city": "SPRING VALLEY",
            "state": "CA",
            "postal_code": "919774211",
            "telephone_number": "619-796-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 THIRD AVE",
            "city": "CHULA VISTA",
            "state": "CA",
            "postal_code": "919113202",
            "telephone_number": "619-796-8950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAUCEDO",
        "first_name": "JEANETTE",
        "middle_name": "ABIGAIL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "59879",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "0012086125",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Clientupdates",
            "affiliation": "N",
            "endpointDescription": "Every season we update the soap notes",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Massage therapy soap notes",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Massage therapy soap notes",
            "address_1": "8291 La Mesa Blvd",
            "city": "LA Mesa",
            "state": "CA",
            "country_code": "US",
            "postal_code": "919425248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chula Vista, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.