Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Sam Nicole Encarnacion Mendoza I, CMT, BSKIN

Individual provider Massage Therapist · NPI 1790660868

Sam Nicole Encarnacion Mendoza I, CMT, BSKIN is a Massage Therapist in San Diego, California. Licensed in California. Registered with an NPI since 2025.

Licensed in
CA
In the registry since
2025

Practice location Address checks out

5959 Mission Gorge Rd Ste 106
San Diego, CA 92120-4019
Phone: (619) 754-4809
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Massage Therapist (primary) Taxonomy 225700000X · Licence 95954 (CA)

Record details

NPI number1790660868
Entity typeIndividual (Type 1)
GenderMale
Credentials CMT , BSKIN
Sole proprietorNo
NPI enumeratedAugust 7, 2025
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

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