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Jesse Fejaran

Massage Therapist in Costa Mesa, CA. Individual provider (NPI-1).

NPI number1457931925
StatusActive
Last updated in NPPESApr 9, 2021

Details

NPI
1457931925
Entity type
Individual (NPI-1)
Name
Jesse Fejaran
Sex
Male
Sole proprietor
Yes
Enumeration date
Apr 9, 2021
Certification date
Mar 19, 2021
Last updated
Apr 9, 2021

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 codeDescriptionLicenseStatePrimary
225700000X Massage Therapist48522CAYes

Practice location

2000 Parsons St
Costa Mesa, CA 92627-2073

Phone 808-383-6759

Mailing address

3857 Birch St
Newport Beach, CA 92660-2616

Other practice locations

20201 Sw Birch St Ste 100
Newport Beach, CA 92660-1781

Phone 949-259-5054

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 Costa Mesa, CA

All 34 Massage Therapist providers in Costa Mesa · All 5,371 providers in Costa Mesa

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