JOHN CHARLES JEROME LMT NPI 1396625646

NPI Information

  • NPI: 1396625646
  • Provider Name: JOHN CHARLES JEROME, LMT
  • Classification: Massage Therapist - 225700000X
  • Entity Type: Individual
  • Address: 1835 NEWPORT BLVD STE A210
    SUITE 117
    COSTA MESA, CA
    ZIP 92627
  • Phone: (714) 381-6111

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NPI Details

John Charles Jerome, LMT is a massage therapist in Costa Mesa, CA. The provider is 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. John Charles Jerome, LMT NPI is 1396625646. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1835 NEWPORT BLVD STE A210
SUITE 117
COSTA MESA, CA
ZIP 92627-011
Phone: (714) 381-6111

The enumeration date for this NPI number is 9/6/2025 and was last updated on 9/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225700000XMassage Therapist23468CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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