ROESHAN SHADRAVAN PHD. DOMP. MSC. CST.
NPI 1144860743
Massage Therapist in Solana Beach, CA

Q: What is Roeshan Shadravan's NPI number?

The NPI number for Roeshan Shadravan is 1144860743. It was assigned to this individual provider in the NPPES registry on January 11, 2020.

Q: What is Roeshan Shadravan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

Q: When was this NPI record last updated?

The NPPES record for Roeshan Shadravan was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 11, 2020

1505 LOMAS SANTA FE DR, SOLANA BEACH, CA 92075(760) 212-1678 Get Directions Write a Review

NPPES record last updated: February 2, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 2, 2022, Jan 11, 2020 (2 updates tracked since 2020).

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About Roeshan Shadravan Phd. Domp. Msc. Cst. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROESHAN SHADRAVAN PHD. DOMP. MSC. CST. (NPI 1144860743) is an individual massage therapist in Solana Beach, California, licensed in California (30079) and active in the NPI registry since January 2020.

NPPES Registry Identity

NPI1144860743

Entity TypeIndividualFemale

Primary Taxonomy225700000X

Provider Legal NameROESHAN SHADRAVANCredential: PHD. DOMP. MSC. CST.

Location Address1505 LOMAS SANTA FE DRSolana Beach, CA 92075-2103

Mailing Address1160 N Coast Highway 101 #232126Encinitas, CA 92023 · (760) 212-1678

Phone(760) 212-1678

Sole ProprietorYes

Enumeration DateJanuary 11, 2020

Last NPPES UpdateFebruary 2, 20222 updates tracked since enumeration

NPPES CertifiedFebruary 2, 2022

✔ NPI 1144860743 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code225700000X

License✔ Licensed in CA · 30079

Definition

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.

Also ListedMechanotherapistTaxonomy 172M00000X

1505 LOMAS SANTA FE DR, Solana Beach, CA 92075

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Roeshan Shadravan's NPI number?

The NPI number for Roeshan Shadravan is 1144860743. It was assigned to this individual provider in the NPPES registry on January 11, 2020.

Where is Roeshan Shadravan located?

Roeshan Shadravan practices at 1505 Lomas Santa Fe Dr, Solana Beach, CA 92075. The listed phone number is (760) 212-1678.

What is Roeshan Shadravan's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Roeshan Shadravan was last updated on February 2, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.