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NPI 1881683472ActiveIndividual· Specialist/Technologist, Athletic Trainer· Sacramento, CA

Specialist/Technologist, Athletic Trainer (ATC) in Sacramento, California, licensed in CA, with an NPI issued in October 2005.

Overview

NPI1881683472
StatusActive
Entity typeIndividual
CredentialATC
Sole proprietorNo
NPI issuedOct 17, 2005
Last updated in NPPESJul 13, 2026

Specialties and licenses

TaxonomyCodeLicenseState
Specialist/Technologist, Athletic Trainer Primary2255A2300X21303CA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

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