STACI BOKANO (NPI# 1447874441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447874441 |
| Entity Type | Individual |
| Full Name | STACI BOKANO |
| Credential | CMT |
| Practice Address |
6177 River Crest Dr Ste A Riverside CA 92507-0728 |
| Practice Telephone | 9516534480 |
| Mailing Telephone | 9516534480 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-06-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 30018 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MASSAGE THERAPY | 300188 | 01 |
| Street Address |
6177 RIVER CREST DR STE A |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92507-0728 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942396668 | Kristina Anna Glad Peterson | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2006-10-04 |
| 1407463680 | Shannon Irwin | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2020-09-30 |
| 1902427529 | Carrie Elizabeth Soholt | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2020-05-05 |
| 1386280089 | Tedmen Elias | Occupational Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2019-11-18 |
| 1174091011 | Andrea Salguero | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2018-11-08 |
| 1043788904 | Britt E Wallstrom | Occupational Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2018-11-08 |
| 1740792621 | James Nery | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2017-10-31 |
| 1750807228 | Randi R Gino | Physical Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2017-08-16 |
| 1760912489 | Shivani Amin | Occupational Therapist | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2017-06-14 |
| 1013459817 | Luis Escamilla | Physical Medicine & Rehabilitation | 6177 River Crest Dr Ste A, Riverside, CA 92507-0728 | 2016-11-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205448917 | Rachel Nielson | Counselor | 1450 Spruce St, Suite A, Riverside, CA 92507 | 2020-08-24 |
| 1437769742 | Pakravan, Manavi & Cohen Dental Corporation | Dentist | 2862 Unit B Canyon Springs Parkway, Riverside, CA 92507 | 2020-08-03 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1164067567 | Audrey Gruen | Social Worker | Canyon Crest Mental Health, 5225 Canyon Crest Drive #100, Riverside, CA 92507 | 2019-11-10 |
| 1518432962 | Antonio Mixon | Specialist | 1405 Spruce Street, Suite A, Riverside, CA 92507 | 2018-10-11 |
| 1811479793 | New Day Counseling Services | Counselor | 20363 Harvard Way, Riverside, CA 92507 | 2018-09-06 |
| 1780176875 | Miriam Martinez | Case Manager/Care Coordinator | 2085 Rustin Ave., Riverside, CA 92507 | 2018-06-04 |
| 1518478874 | Lisa Manuel | Counselor | 2058 Rustin Ave, Riverside, CA 92507 | 2017-10-13 |
| 1497272942 | Yajaira Placensia | Behavioral Analyst | 1486 Everton Place, Riverside, CA 92507 | 2017-08-25 |
| 1841717691 | Stephanie Teuchert | Behavioral Analyst | 1080 Spruce Street Apartment 7c, Riverside, CA 92507 | 2017-08-23 |
| Find all providers in zip 92507 | ||||
| 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 |
|---|---|---|---|---|
| 1851907653 | Jennifer Marie Nelson | Massage Therapist | 4295 10th St, Riverside, CA 92501-3111 | 2020-09-17 |
| 1093329104 | Ruben David Willis | Massage Therapist | 3264 Rainforest Dr, Riverside, CA 92503-0824 | 2020-09-04 |
| 1801400577 | Danisha Vassar | Massage Therapist | 616 Dodge Ct Apt A, Riverside, OH 45431-4893 | 2020-09-01 |
| 1356905939 | Helen Thomas | Massage Therapist | 6250 Brockton Ave, Riverside, CA 92506-2235 | 2019-04-29 |
| 1083176895 | Marissa Noel Rodriguez | Massage Therapist | 3860 Tyler St, Riverside, CA 92503-3431 | 2019-04-01 |
| 1184191009 | Samson Ayele Negash | Massage Therapist | 12579 Bougainvillea Way, Riverside, CA 92503-7023 | 2018-10-29 |
| 1174057509 | Tommy Washington | Massage Therapist | 2891 Canyon Crest Dr, Apt# 13, Riverside, CA 92507-7906 | 2017-04-12 |
| 1558727537 | Lupe Rodriguez | Massage Therapist | 4356 Via San Luis, Riverside, CA 92504-2453 | 2016-01-06 |
| 1568707313 | Know Knots Massage | Massage Therapist | 8052 Limonite Ave, Ste 104, Riverside, CA 92509-6124 | 2012-12-05 |
| 1952664997 | Randall Jaeger Worthington | Massage Therapist | 6422 Magnolia Ave, Riverside, CA 92506-2408 | 2012-06-22 |
| Find all providers in RIVERSIDE | ||||
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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.