JAN HERMANN (NPI# 1043838402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043838402 |
| Entity Type | Individual |
| Full Name | JAN HERMANN |
| Credential | CLMT |
| Practice Address |
1450 N Lake Ave Pasadena CA 91104-2387 |
| Mailing Address |
9036 Arcadia Ave Apt 16 San Gabriel CA 91775-1454 |
| Practice Telephone | 6267987805 |
| Mailing Telephone | 6266162542 |
| Enumeration Date | 2020-07-10 |
| Last Update Date | 2020-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | STATE LICENSE NUMBER | 79049 | 01 |
| Street Address |
1450 N LAKE AVE |
| City | PASADENA |
| State | CA |
| Zip Code | 91104-2387 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184942609 | Jagvinder Singh Medical Corp | Internal Medicine | 1450 N Lake Ave, Suite A, Pasadena, CA 91104-2301 | 2010-05-07 |
| 1962026690 | Veronica Vazquez | Physical Therapist | 1450 N Lake Ave, Pasadena, CA 91104-2387 | 2020-05-28 |
| 1215562327 | Jenna Deleo | Counselor | 1450 N Lake Ave, Pasadena, CA 91104-2387 | 2020-03-09 |
| 1669006516 | Michael Espinoza | Chiropractor | 1450 N Lake Ave, Pasadena, CA 91104-2387 | 2020-03-01 |
| 1548721103 | Sherri Toy | Counselor | 1450 N Lake Ave, Pasadena, CA 91104-2387 | 2019-03-27 |
| 1154888188 | Jessica Lopez | Counselor | 1450 N Lake Ave, Pasadena, CA 91104-2387 | 2019-02-26 |
| 1639659188 | Christopher Russell Smith | Chiropractor | 1450 N Lake Ave, Pasadena, CA 91104-2301 | 2018-08-15 |
| 1992205348 | Keith Kowalczyk | Chiropractor | 1450 N Lake Ave, Pasadena, CA 91104-2301 | 2018-02-12 |
| 1548771561 | Maryann Aguirre | Case Manager/Care Coordinator | 1450 N Lake Ave, Pasadena, CA 91104-2301 | 2017-10-17 |
| 1932619426 | Arnold Tarronas Carreon Jr. | Counselor | 1450 N Lake Ave, Pasadena, CA 91104-2301 | 2017-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093284382 | Jack Lee Johnson II | Counselor | 1680 North Fair Oaks, Pasadena, CA 91104 | 2018-11-16 |
| 1699257055 | Aqueelah Russell | Lactation Consultant, Non-RN | 855 N. Catalina Ave, Pasadena, CA 91104 | 2018-09-02 |
| 1053893529 | Jordann Ashley Stewart | Case Manager/Care Coordinator | 691 East Washington Blvd, Pasadena, CA 91104 | 2018-08-31 |
| 1942789706 | Elmer Caballero | Case Manager/Care Coordinator | 691 E Washington Blvd, Pasadena, CA 91104 | 2018-08-12 |
| 1649759648 | Orlando Javier Sava Jr. | Case Manager/Care Coordinator | 1395 E. Orange Grove Blvd, Pasadena, CA 91104 | 2018-08-09 |
| 1669923611 | Grandview Foundation, Inc. | Substance Abuse Rehabilitation Facility | 225 Grandview Street, Pasadena, CA 91104 | 2016-10-14 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1477893782 | Med Tec Diagnostic Inc. | Clinic/Center | 1310 N. Mar Vista Unit 3, Pasadena, CA 91104 | 2013-02-22 |
| 1750631321 | Gordon Sheldall | Marriage & Family Therapist | 1495 N Lake Avenue, Pasadena, CA 91104 | 2012-09-11 |
| 1699024521 | Sherry Lynn Wait | Marriage & Family Therapist | 1495 N. Lake Ave., Pasadena, CA 91104 | 2012-09-06 |
| Find all providers in zip 91104 | ||||
| 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 |
|---|---|---|---|---|
| 1609341296 | Desiree Eileen Gonzales | Massage Therapist | 3500 Red Bluff Rd Apt 70, Pasadena, TX 77503-3344 | 2018-10-10 |
| 1780032227 | Somaforte Therapeutic Care | Massage Therapist | 220 Glenmore Dr, Pasadena, TX 77503-1517 | 2016-05-25 |
| 1255734166 | Linhua Wang-kim | Massage Therapist | 1028 N. Lake Ave., Suite 108c, Pasadena, CA 91104 | 2014-10-06 |
| 1851735294 | Kathleen Ann Hope | Massage Therapist | 7772 Cork Ln, Pasadena, MD 21122-1813 | 2013-04-27 |
| 1770856338 | Relax & Rehab | Massage Therapist | 4931 Allen-genoa Rd., Pasadena, TX 77054 | 2012-02-13 |
| 1194035923 | Donna Lynn Liggett | Massage Therapist | 1216 Farmview Rd, Pasadena, MD 21122-2410 | 2010-10-14 |
| 1093983637 | Natalie Cribley | Massage Therapist | 728 Skylark Rd, Pasadena, TX 77502-4570 | 2008-02-18 |
| 1912032665 | Annette Champo, Clmt | Massage Therapist | 936 E Green St, Suite 106, Pasadena, CA 91106-2900 | 2007-02-22 |
| 1184255242 | Yangyang Sheng | Massage Therapist | 80 N Lake Ave Ste 103, Pasadena, CA 91101-5629 | 2020-01-28 |
| 1285274654 | Jose Parra-ruiz | Massage Therapist | 2595 E Washington Blvd Ste 108, Pasadena, CA 91107-1409 | 2020-01-13 |
| Find all providers in PASADENA | ||||
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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.