Jasyn Scott Chidester, A.T.C.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

180 El Camino Real
Suite M384, Office 229
Palo Alto, CA 94304

Phone

(650) 885-6300

NPI assigned

May 4, 2017

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517443200000",
    "number": "1053847475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 CHEENEY ST",
            "city": "SANTA CLARA",
            "state": "CA",
            "postal_code": "950542522",
            "telephone_number": "650-504-0048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 EL CAMINO REAL",
            "address_2": "SUITE M384, OFFICE 229",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "94304",
            "telephone_number": "650-885-6300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIDESTER",
        "first_name": "JASYN",
        "middle_name": "SCOTT",
        "credential": "A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-04",
        "last_updated": "2018-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOC CERTIFIED ATHLETIC TRAINER",
            "identifier": "2000025880",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kim Mae Karin Chia, M.D.
• Angela F Chiang, M.D.
• Priscilla Chiang, PA-C
• Whitney Chiao, MD
• Lynn E Chiarello, CNM
• May Chien, MD
• Lekha Chilakamarri, MD
• Children'S Health Council
• Children'S Health Council
• Nymisha Chilukuri, MD

• Athletic Trainer in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.