Individual provider Active NPI

Jasmine Kim Tran

  • Massage Therapist
  • Santa Rosa, CA
National Provider Identifier
1992523294
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
97307 Issued in CA
Practice address
5755 Mountain Hawk Dr Ste 201
Santa Rosa, CA 95409-4451
Phone
(707) 921-9661
NPI assigned
Sep 26, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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 97307 CA Primary

Addresses

Primary practice location

5755 Mountain Hawk Dr Ste 201
Santa Rosa, CA 95409-4451

Mailing address

2378 Laylani CT
Santa Rosa, CA 95403-8954
Phone (707) 888-5099

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
97307CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sonoma Acupuncture, Inc. CurrentSince Sep 29, 2024 Accepting new patients

Locations

5755 Mountain Hawk Dr
Ste 201
Santa Rosa, CA 95409
Phone (707) 222-5874

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1992523294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 LAYLANI CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954038954",
            "telephone_number": "707-888-5099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5755 MOUNTAIN HAWK DR STE 201",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954094451",
            "telephone_number": "707-921-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAN",
        "first_name": "JASMINE",
        "middle_name": "KIM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-09-26",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "97307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.