SAM NICOLE ENCARNACION MENDOZA I CMT, B.S.KIN
NPI 1790660868
Massage Therapist in San Diego, CA

Active since August 07, 2025
5959 MISSION GORGE RD STE 106, SAN DIEGO, CA 92120(619) 754-4809 Get Directions Write a Review

NPPES record last updated: August 7, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Sam Nicole Encarnacion Mendoza I Cmt, B.s.kin NPPES

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

SAM NICOLE ENCARNACION MENDOZA I CMT, B.S.KIN (NPI 1790660868) is an individual massage therapist in San Diego, California, licensed in California (95954) and active in the NPI registry since August 2025.

NPPES Registry Identity

NPI1790660868
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameSAM NICOLE ENCARNACION MENDOZA ICredential: CMT, B.S.KIN
Location Address5959 MISSION GORGE RD STE 106San Diego, CA 92120-4019
Mailing Address665 Carefree DrSan Diego, CA 92114-5753
Sole ProprietorNo
Enumeration DateAugust 7, 2025
NPPES CertifiedAugust 7, 2025
NPI 1790660868 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 · 95954
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.
5959 MISSION GORGE RD STE 106, San Diego, CA 92120

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
5959 MISSION GORGE RD STE 106
SAN DIEGO, CA 92120
Social Worker (Clinical)
5959 MISSION GORGE RD STE 106
SAN DIEGO, CA 92120
Counselor (Mental Health)
5959 MISSION GORGE RD STE 106
SAN DIEGO, CA 92120
Psychologist (Clinical)
5959 MISSION GORGE RD STE 106
SAN DIEGO, CA 92120
Massage Therapist
5959 MISSION GORGE RD STE 106
SAN DIEGO, CA 92120

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 Sam Nicole Mendoza's NPI number?

The NPI number for Sam Nicole Mendoza is 1790660868. It was assigned to this individual provider in the NPPES registry on August 7, 2025.

Where is Sam Nicole Mendoza located?

Sam Nicole Mendoza practices at 5959 Mission Gorge Rd Ste 106, San Diego, CA 92120. The listed phone number is (619) 754-4809.

What is Sam Nicole Mendoza'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 Sam Nicole Mendoza was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.