COMPOSURE MASSAGE (NPI# 1164821641) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164821641 |
| Entity Type | Organization |
| Organization Name | COMPOSURE MASSAGE |
| Practice Address |
31843 Rancho California Rd. Suite 200 Temecula CA 92591 |
| Mailing Address |
36070 Valencia Way Temecula CA 92592-9038 |
| Practice Telephone | 9515955816 |
| Mailing Telephone | 9515955816 |
| Mailing Fax Number | 9513038167 |
| Enumeration Date | 2014-08-20 |
| Last Update Date | 2014-08-20 |
| Authorized Official Name | CLAUDIA VANDE BRAKE (MASSAGE THERAPIST) |
| Authorized Official Telephone | 9515955816 |
| Authorized Official Credential | MT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 35555 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
31843 RANCHO CALIFORNIA RD. SUITE 200 |
| City | TEMECULA |
| State | CA |
| Zip Code | 92591 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255978961 | Kendall Leeanne Mattix | Behavior Technician | 26720 Ynez Court, Temecula, CA 92591 | 2019-12-02 |
| 1457915167 | Janice Marie Vevoda-aguero | Registered Nurse | 31233 Skyline Drive, Temecula, CA 92591 | 2019-04-29 |
| 1689151698 | David W Schwartz Md A Medical Corporation | Preferred Provider Organization | 29645 Rancho California Rd Ste 105, Temecula, CA 92591 | 2018-07-23 |
| 1356830426 | Luxottica Retail North America, Inc | Eyewear Supplier (Equipment, not the service) | 40780 Winchester Rd, Temecula, CA 92591 | 2018-05-04 |
| 1780196428 | Shirley K Wade | Case Manager/Care Coordinator | 40925 County Circle Drive, Temecula, CA 92591 | 2017-11-03 |
| 1639691405 | Angela Parry | Counselor | 29645 Rancho California Rd # 133c, Temecula, CA 92591 | 2017-07-12 |
| 1386166395 | Jonathan James Creech | Optometrist | 41257 Magarita Road, Suite B 103, Temecula, CA 92591 | 2017-07-11 |
| 1730600743 | Rachel Michele Brannigan | Specialist/Technologist | 39522 Seraphina Rd, Temecula, CA 92591 | 2017-06-29 |
| 1457890303 | Kala Chrisilis Earley | Specialist/Technologist | 29004 Bridgehampton Rd, Temecula, CA 92591 | 2017-02-13 |
| 1114464823 | Danielle Sasha Gonzalez | Counselor | 41002 County Circle Dr., Temecula, CA 92591 | 2017-01-20 |
| Find all providers in zip 92591 | ||||
| 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 |
|---|---|---|---|---|
| 1023624715 | Christopher Keith Tyler | Massage Therapist | 41925 5th St Unit 406, Temecula, CA 92590-2739 | 2020-09-18 |
| 1700363983 | Brawnergy Massage & Bodywork | Massage Therapist | 27393 Ynez Rd Ste 151, Temecula, CA 92591-4605 | 2018-07-20 |
| 1649718354 | Bianca Esperanza Wylie | Massage Therapist | 27485 Ynez Rd Ste 16, Temecula, CA 92591-4612 | 2017-02-02 |
| 1548652050 | Mayette Serrano Geller | Massage Therapist | 31045 Temecula Pkwy, Suite 203, Temecula, CA 92592-3085 | 2015-02-21 |
| 1679909758 | Richard Gregory Beam | Massage Therapist | 44876 Marge Pl, Temecula, CA 92592-1405 | 2013-09-19 |
| 1649419425 | Christie E Johnson | Massage Therapist | 31045 Avenida Del Reposo, Temecula, CA 92591-1715 | 2009-02-18 |
| 1780960211 | Camille Harrison | Massage Therapist | 27450 Ynez Rd, Suite 110-c, Temecula, CA 92591-4671 | 2011-10-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578164265 | Gary L Johnson | Massage Therapist | 222 Columbus Ave Ste 220, San Francisco, CA 94133-4597 | 2020-11-08 |
| 1720689508 | Cebrina Dieli | Massage Therapist | 470 Forest Park Blvd., C-212, Oxnard, CA 93036 | 2020-11-06 |
| 1528669348 | Matthew P Martinez | Massage Therapist | 417 N Citrus Ave Apt 7, Escondido, CA 92027-2765 | 2020-11-06 |
| 1841891603 | Jenni Asher | Massage Therapist | 5425 1/2 Vantage Avenue, Valley Village, CA 91607 | 2020-11-06 |
| 1316548456 | Paulo Conceicao | Massage Therapist | 6559 Comly St, San Diego, CA 92111-5401 | 2020-11-05 |
| 1023619079 | Reanna Whitnall | Massage Therapist | 9950 Campo Rd Ste 204, Spring Valley, CA 91977-1629 | 2020-11-05 |
| 1073114252 | Briana Hill | Massage Therapist | 2203 San Remo Cir, Vista, CA 92084-7727 | 2020-11-04 |
| 1770184954 | Michelle Ann Moeller | Massage Therapist | 5648 Oak Grove Ave, Oakland, CA 94618-1243 | 2020-11-04 |
| 1013518315 | Mayulee Wilawanwelsh | Massage Therapist | 349 S Lafayette Pk Pl, Los Angeles, CA 90057 | 2020-11-03 |
| 1194326553 | Suzanne Romero | Massage Therapist | 411 Alvarado St Apt 201, Monterey, CA 93940-2710 | 2020-11-03 |
| Find all providers with the same taxonomy | ||||
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| 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.