Active NPI
Tiffany Maston, MED, ATC
- Athletic Trainer
- Gardena, CA
National Provider Identifier
1053532895
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 010502101
- Practice address
- 14830 Van Ness Ave
Gardena, CA 90249-3718 - Phone
- (310) 324-6675
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 010502101 | CA | Primary |
Addresses
Primary practice location
14830 Van Ness Ave
Gardena, CA 90249-3718
Mailing address
PO Box 14482
Torrance, CA 90503-8482
Phone (310) 324-6675
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Education
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 010502101 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1337126400000",
"number": "1053532895",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14482",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905038482",
"telephone_number": "310-324-6675"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14830 VAN NESS AVE",
"city": "GARDENA",
"state": "CA",
"postal_code": "902493718",
"telephone_number": "310-324-6675"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASTON",
"first_name": "TIFFANY",
"credential": "MED, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-01",
"last_updated": "2012-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "010502101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gardena, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.