Active NPI
Robert Arthur Carmona, MASSAGE THERAPIST
- Massage Therapist
- Baldwin Park, CA
National Provider Identifier
1992095905
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 15902
- Practice address
- 14626 Via El Camino
Baldwin Park, CA 91706-2758 - Phone
- (310) 877-0338
- NPI assigned
- Apr 11, 2011
- Sex
- Male
- 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 | 15902 | CA | Primary |
Addresses
Primary practice location
14626 Via El Camino
Baldwin Park, CA 91706-2758
Mailing address
14626 Via El Camino
Baldwin Park, CA 91706-2758
Phone (310) 877-0338
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992095905 | Medicaid | CA |
Other names 1
- Mr. Robert Carmona
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 |
|---|---|---|---|
| 15902 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303948800000",
"number": "1992095905",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14626 VIA EL CAMINO",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917062758",
"telephone_number": "310-877-0338"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14626 VIA EL CAMINO",
"city": "BALDWIN PARK",
"state": "CA",
"postal_code": "917062758",
"telephone_number": "310-877-0338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARMONA",
"first_name": "ROBERT",
"middle_name": "ARTHUR",
"name_prefix": "Mr.",
"credential": "MASSAGE THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-04-11",
"last_updated": "2011-04-28",
"status": "A"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "15902",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1992095905",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ROBERT",
"last_name": "CARMONA",
"prefix": "MR.",
"credential": "CMT,",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Baldwin Park, CA
- Zhen Qing Cao, LAC
- Berenice Carbayo, PHARMD
- Carcamo Medical Corporation
- Carlos Beharie M.D. Medical Group, Inc.
- Carlos Beharie M.D. Medical Group, Inc.
- Maria R. Carrasco, MD
- Herman F Carrillo, MD
- Karen Carrillo, NURSE PRACTITIONER
- Alma G Cayetano Mestas
- Center for Integrated Family and Health Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.