Individual provider Active NPI

Robert Arthur Carmona, MASSAGE THERAPIST

  • Massage Therapist
  • Baldwin Park, CA
National Provider Identifier
1992095905
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
15902 Issued in CA
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

Updated by the provider on Apr 28, 2011

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 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

IdentifierTypeStateIssuer
1992095905MedicaidCA

Other names 1

  • Mr. Robert Carmona 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
15902CAMDAcupuncturist

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

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.

Verify at the official NPI Registry.