DOMENIC MERLOS (NPI# 1053880724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053880724 |
| Entity Type | Individual |
| Full Name | DOMENIC MERLOS |
| Practice Address |
2322 Butano Dr Ste 214 Sacramento CA 95825-0657 |
| Practice Telephone | 1648842239 |
| Mailing Telephone | 9164884223 |
| Enumeration Date | 2018-11-24 |
| Last Update Date | 2018-11-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 76709 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CAMTC | 76709 | 01 |
| Street Address |
2322 BUTANO DR STE 214 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95825-0657 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811344690 | Body Fix Therapies Inc | Mechanotherapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2016-05-20 |
| 1184281842 | Beth Anderson | Massage Therapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2019-05-28 |
| 1861957375 | Susan Huntzinger | Massage Therapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2019-02-08 |
| 1972073641 | Ashlee Evans | Massage Therapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2018-11-26 |
| 1326517095 | Richard Zurlo | Massage Therapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2018-11-24 |
| 1962971630 | Amanda Elledge | Massage Therapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2018-11-24 |
| 1144799818 | Declan Lough | Massage Therapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2018-11-24 |
| 1487123246 | Jonathn David Adair | Massage Therapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2018-11-21 |
| 1992274740 | Kimberly Ann Adair | Mechanotherapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2018-11-21 |
| 1700386224 | Darcy Marie Fournier | Massage Therapist | 2322 Butano Dr Ste 214, Sacramento, CA 95825-0657 | 2018-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667854 | Sarah Claudio | Case Manager/Care Coordinator | 650 Howe Ave # 400-b, Sacramento, CA 95825 | 2020-10-19 |
| 1962009308 | Andrea Isabel Morales | Behavior Technician | 333 University Avenue, Suite 200, Sacramento, CA 95825 | 2020-10-08 |
| 1942810510 | Melissa Marlene Lowndes | Occupational Therapist | 1337 Howe Ave Unit 107, Sacramento, CA 95825 | 2020-08-07 |
| 1780294827 | Travis Elliott Peppers | Case Manager/Care Coordinator | 650 Howe Ave Suite 400-b, 650 Howe Ave Suite 400-b, Sacramento, CA 95825 | 2020-08-04 |
| 1154950327 | Hallie Wenz | Behavior Technician | 333 University Ave Suite #200, Sacramento, CA 95825 | 2020-04-08 |
| 1679105456 | Dr. Page Hudson Dental Corporation | Dentist | 1580 Howe Avenue, Suite A, Sacramento, CA 95825 | 2020-02-10 |
| 1710517891 | Amelia Garnica | Community/Behavioral Health | 720 Howe Avenue, Suite 102, Sacamento, CA 95825 | 2020-01-17 |
| 1427697374 | Anthony Barnes | Social Worker | 2008 Morse Avenue, Commons Building, Sacramento, CA 95825 | 2019-12-24 |
| 1528604519 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave., Suite 102, Cacramento, CA 95825 | 2019-11-25 |
| 1164068144 | Mental Health America of Northern California | Community/Behavioral Health | 720 Howe Ave. Suite, 102, Sacramento, CA 95825 | 2019-11-25 |
| Find all providers in zip 95825 | ||||
| Taxonomy Code | 225700000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Massage Therapist |
| An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649886789 | Latosha Trenet Rivera | Massage Therapist | 3471 Wildwind Ct, Sacramento, CA 95827-3064 | 2020-09-22 |
| 1538774823 | Amber Marie Murray | Massage Therapist | 3400 Cottage Way Ste F2, Sacramento, CA 95825-1474 | 2020-09-13 |
| 1376158089 | Desiree Williams | Massage Therapist | 2341 Northrop Ave Apt 210d, Sacramento, CA 95825-7215 | 2020-09-09 |
| 1043824121 | Clara Matthews | Massage Therapist | 8448 Amrita Ct, Sacramento, CA 95828-6620 | 2020-09-04 |
| 1649884453 | Xavier Couvson | Massage Therapist | 2051 Arena Blvd Ste 100, Sacramento, CA 95834-2311 | 2020-08-31 |
| 1932713732 | Danielle Dunn | Massage Therapist | 2920 Del Paso Blvd Apt 10, Sacramento, CA 95815-1439 | 2020-08-31 |
| 1710591532 | Natasha Henderson | Massage Therapist | 7371 Power Inn Rd Apt 213, Sacramento, CA 95828-3545 | 2020-08-31 |
| 1174081236 | Paul Brown | Massage Therapist | 717 K St Ste 306, Sacramento, CA 95814-3477 | 2019-03-07 |
| 1497229652 | Tiffany Bedolla | Massage Therapist | 717 K St Ste 514, Sacramento, CA 95814-3408 | 2019-01-21 |
| 1922574904 | Sam Dyer Stewart | Massage Therapist | 2784 Freeport Blvd, Sacramento, CA 95818-3053 | 2018-10-17 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95825 |
Please comment or provide details below to improve the information on DOMENIC MERLOS.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.