MR. JOSE M. DE SAN JUAN (NPI# 1538465125) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538465125 |
| Entity Type | Individual |
| Full Name | MR. JOSE M. DE SAN JUAN |
| Credential | C.M.T. |
| Practice Address |
1820 N Avon St Burbank CA 91505-1505 |
| Practice Telephone | 8184808148 |
| Mailing Telephone | 8184808148 |
| Enumeration Date | 2011-01-31 |
| Last Update Date | 2011-01-31 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 18450 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1820 N AVON ST |
| City | BURBANK |
| State | CA |
| Zip Code | 91505-1505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023625035 | K and S Hospice Inc | Hospice Care, Community Based | 4100 W Alameda Ave Fl 3, Burbank, CA 91505 | 2020-09-24 |
| 1013542471 | Jami Stehlin | Nurse Practitioner | 501 S. Buena Vista St. 3ne, Burbank, CA 91505 | 2020-03-06 |
| 1497309033 | Ibrahim Lala | Pharmacist | 181 S. Buena Vista St, Burbank, CA 91505 | 2019-08-01 |
| 1720501240 | Jung H Li | Registered Nurse | Psjmc- Bariatric Wellness Center, 501 S Buena Vista St, Burbank, CA 91505 | 2017-07-18 |
| 1699204974 | Beth Ellen Izbotsky | Physical Medicine & Rehabilitation | 501 S Buena Vista Blvd, Burbank, CA 91505 | 2017-06-08 |
| 1205387446 | Fabiola Bachman | Dentist | 138 N Pass Ave, 2, Burbank, CA 91505 | 2016-10-24 |
| 1114478203 | Marianna Ghularyan D.d.s. Inc | Dentist | 1400 N. Edison Blvd., Burbank, CA 91505 | 2016-10-24 |
| 1962952127 | Landa Mizin Dental Partnership | Dentist | 2625 W Alameda Ave Ste 502, Burbank, CA 91505 | 2016-10-11 |
| 1285183376 | Amy Di Francia | Marriage & Family Therapist | 4421 W Riverside Dr Ste 210, Burbank, CA 91505 | 2016-09-29 |
| 1306238381 | Abigail Merrin | Physical Therapist | 2701 W Alameda Ave Ste 206, Burbank, CA 91505 | 2015-02-26 |
| Find all providers in zip 91505 | ||||
| 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 |
|---|---|---|---|---|
| 1659985794 | Saranya Jada Chotejirakarn | Massage Therapist | 418 S Kenneth Rd, Burbank, CA 91501-1557 | 2020-09-05 |
| 1891339008 | Paul Aaron Harris | Massage Therapist | 1925 Church St Apt 101, Burbank, CA 91504-3613 | 2019-10-30 |
| 1265945612 | Dianna Marie Encarnacion | Massage Therapist | 727 E. Palm Ave., Apt. B, Burbank, CA 91504-2143 | 2017-11-08 |
| 1720535230 | Marisa Dexter | Massage Therapist | 24 Robin Rd, Burbank, WA 99323 | 2016-09-01 |
| 1649433897 | Shelie Greco | Massage Therapist | 386 Westbourne Loop, Burbank, WA 99323-8517 | 2008-07-08 |
| 1730341967 | Stephanie Carney | Massage Therapist | 4240 W Sarah St Apt 30, Burbank, CA 91505-3853 | 2008-06-29 |
| 1790247807 | Michael Anthony Caceres | Massage Therapist | 101 W Alameda Ave, Burbank, CA 91502-2209 | 2019-04-05 |
| 1093214587 | Allied Pain and Wellness Simian Chiropractic Inc. | Massage Therapist | 1220 W Olive Ave, Burbank, CA 91506-2216 | 2018-02-09 |
| 1013179175 | David A Iler Jr. | Massage Therapist | 4240 W Sarah St Apt 30, Burbank, CA 91505-3853 | 2008-06-30 |
| 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.