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MR. YUNITRISUWANTO BASUKI
NPI 1518557016
Massage Therapist in Santa Monica, CA

Active since January 19, 2021
625 MONTANA AVE, SANTA MONICA, CA 90403(310) 393-7007 Get Directions Write a Review

NPPES record last updated: January 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Yunitrisuwanto Basuki NPPES

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

MR. YUNITRISUWANTO BASUKI (NPI 1518557016) is an individual massage therapist in Santa Monica, California, licensed in California (8254) and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1518557016
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameMR. YUNITRISUWANTO BASUKI
Location Address625 MONTANA AVESanta Monica, CA 90403-1409
Mailing Address16011 S Western Ave Apt 14Gardena, CA 90247-3736 · (310) 866-2340
Phone(310) 393-7007
Sole ProprietorYes
Enumeration DateJanuary 19, 2021
NPPES CertifiedJanuary 19, 2021
✔ NPI 1518557016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License✔ Licensed in CA · 8254
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.
625 MONTANA AVE, Santa Monica, CA 90403
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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 Yunitrisuwanto Basuki's NPI number?

The NPI number for Yunitrisuwanto Basuki is 1518557016. It was assigned to this individual provider in the NPPES registry on January 19, 2021.

Where is Yunitrisuwanto Basuki located?

Yunitrisuwanto Basuki practices at 625 Montana Ave, Santa Monica, CA 90403. The listed phone number is (310) 393-7007.

What is Yunitrisuwanto Basuki'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 Yunitrisuwanto Basuki was last updated on January 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.