Keenan Joseph McGuckin

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

97496 Issued in CA

Practice address

4341 Crestview Dr
La Mesa, CA 91941-6935

Phone

(619) 241-3726

NPI assigned

Jan 24, 2025

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1737676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737676800000",
    "number": "1982416103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4341 CRESTVIEW DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416935",
            "telephone_number": "619-241-3726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4341 CRESTVIEW DR",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919416935",
            "telephone_number": "619-241-3726"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Fletcher Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920202140",
            "country_code": "US",
            "telephone_number": "619-241-3726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGUCKIN",
        "first_name": "KEENAN",
        "middle_name": "JOSEPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-01-24",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "97496",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Idalia E. McGivern, PH.D.
• Alisha Nicole McGovern, LMFT
• Camela Ann McGrath, M.D.
• Joseph Patrick McGraw, M.D
• Priscella Pearlene McGregor
• Mandy McGuffie-Eller
• Dennis Russell McKinley, RPH
• Kiana Regina McKinney
• Rita Isabel McKinney, LMFT
• Shannon McLaughlin

• Massage Therapist in La Mesa, CA
• Providers in La Mesa, CA by specialty
• Massage Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.