SONORA FAIRBANKS (NPI# 1073128229) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073128229 |
| Entity Type | Individual |
| Full Name | SONORA FAIRBANKS |
| Credential | MASSAGE THERAPIST |
| Practice Address |
785 E Port Hueneme Rd Port Hueneme CA 93041-3560 |
| Practice Telephone | 3233792124 |
| Mailing Telephone | 3233792124 |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2020-09-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225700000X | Massage Therapist | 59563 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
785 E PORT HUENEME RD |
| City | PORT HUENEME |
| State | CA |
| Zip Code | 93041-3560 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629592605 | Andrew Guilmond Nadeau | Military Health Care Provider | 1183 North Ventura Road, Port Hueneme, CA 93041 | 2017-08-01 |
| 1861861221 | Norma Martinez | Non-emergency Medical Transport (VAN) | 160 Sixth Place, Port Hueneme, CA 93041 | 2015-09-16 |
| 1962813733 | Olga Gutierrez Core | Pharmacist | 248 E Scott St, Port Hueneme, CA 93041 | 2014-05-15 |
| 1659796647 | Michael George Abasta | Chore Provider | 1534 5th Street, Port Hueneme, CA 93041 | 2014-02-27 |
| 1669610770 | Dianna Castro | Counselor | 1634 6th Street, Port Hueneme, CA 93041 | 2009-01-27 |
| 1427266931 | Brian Michael Strahl | Military Health Care Provider | 5 Nmcb 5 Street, Port Hueneme, CA 93041 | 2007-05-18 |
| 1518094291 | Alireza Sharifzadeh Dds Inc | Dentist | 460 E Pleasant Valley Rd, #b, Port Hueneme, CA 93041 | 2007-02-28 |
| 1306991807 | Dennis L Tank Dds PC | Dentist | 475 W Channel Islands Blvd, 203, Port Hueneme, CA 93041 | 2007-01-24 |
| 1538224001 | Tri Duc Duong | Dentist | 329 E Hueneme Rd, Port Hueneme, CA 93041 | 2006-12-26 |
| 1891857967 | Darryl William Priest | Dentist | 501 West Channel Islands Blvd, Suite 205, Port Hueneme, CA 93041 | 2006-12-15 |
| Find all providers in zip 93041 | ||||
| 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 |
|---|---|---|---|---|
| 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 | ||||
| City | PORT HUENEME |
| Zip Code | 93041 |
Please comment or provide details below to improve the information on SONORA FAIRBANKS.
| 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.