Davion White, MA, ATC, PES, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

040402169 Issued in CA

Practice address

1600 Atlantic Ave
Long Beach, CA 90813-2017

Phone

(526) 591-0581

Fax

(562) 591-0631

NPI assigned

Jun 19, 2023

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1687132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1023793999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 ROSECRANS AVE STE 206",
            "city": "MANHATTAN BEACH",
            "state": "CA",
            "postal_code": "902662451",
            "telephone_number": "310-726-0750",
            "fax_number": "310-726-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 ATLANTIC AVE",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908132017",
            "telephone_number": "526-591-0581",
            "fax_number": "562-591-0631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2265 McNab Ave",
            "address_purpose": "LOCATION",
            "city": "Long Beach",
            "state": "CA",
            "postal_code": "908153341",
            "country_code": "US",
            "telephone_number": "310-628-6963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WHITE",
        "first_name": "DAVION",
        "credential": "MA, ATC, PES, CES",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-19",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "040402169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth Wheeler
• Nia Amber Whitaker-Little
• Amanda White-Graff
• Carey White
• Chelsea White
• Ebony R White
• Erin Michelle White
• Jacqueline Barbour White, PA-C
• Jesslyn Lena Grace White, DDS
• Josie White, MFT

• Athletic Trainer in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.