Active NPI
Songsuda Carlson
- Massage Therapist
- San Diego, CA
National Provider Identifier
1992443030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Massage Therapist
- License
- 68815
- Practice address
- 7296 Caminito Carlotta
San Diego, CA 92120-2214 - Phone
- (858) 775-3829
- NPI assigned
- May 26, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 68815 | CA | |
| Massage Therapist | 225700000X | 68815 | CA | Primary |
Addresses
Primary practice location
7296 Caminito Carlotta
San Diego, CA 92120-2214
Mailing address
7296 Caminito Carlotta
San Diego, CA 92120-2214
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 920175571-01 | Other | CA | SHARP HEALTHCARE |
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": "1653523200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653523200000",
"number": "1992443030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7296 CAMINITO CARLOTTA",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7296 CAMINITO CARLOTTA",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921202214",
"telephone_number": "858-775-3829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLSON",
"first_name": "SONGSUDA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-05-26",
"last_updated": "2022-05-26",
"certification_date": "2022-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "68815",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "CA",
"license": "68815",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHARP HEALTHCARE",
"identifier": "920175571-01",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.