Jordana Lerios
Massage Therapist in Fairfax, CA. Individual provider (NPI-1).
NPI number1003781972
StatusActive
Last updated in NPPESOct 9, 2025
Details
- NPI
- 1003781972
- Entity type
- Individual (NPI-1)
- Name
- Jordana Lerios
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 9, 2025
- Certification date
- Oct 9, 2025
- Last updated
- Oct 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225700000X | Massage Therapist | – | CA | Yes |
Practice location
65 Broadway BlvdFairfax, CA 94930-1653
Phone 415-307-7801
Mailing address
Po Box 162Woodacre, CA 94973-0162
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Massage Therapist providers in Fairfax, CA
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