Active NPI
Tiffany Marino
- Massage Therapist
- Newport Beach, CA
National Provider Identifier
1982341632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 9060
- Practice address
- 1601 Dove St Ste 185
Newport Beach, CA 92660-2441 - Phone
- (714) 519-6606
- NPI assigned
- May 15, 2022
- 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 | 9060 | CA | Primary |
Addresses
Primary practice location
1601 Dove St Ste 185
Newport Beach, CA 92660-2441
Mailing address
753 N Glassell St
Orange, CA 92867-6776
Phone (714) 313-6974
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
| License | State | Type | Specialty |
|---|---|---|---|
| 9060 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652572800000",
"number": "1982341632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 N GLASSELL ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928676776",
"telephone_number": "714-313-6974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 DOVE ST STE 185",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602441",
"telephone_number": "714-519-6606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARINO",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-15",
"last_updated": "2022-05-15",
"certification_date": "2022-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Massage Therapist",
"state": "CA",
"license": "9060",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.