Individual provider Active NPI

James Arnel Cruz Espinoza, ATC

  • Athletic Trainer
  • Honolulu, HI
National Provider Identifier
1063938041
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AT-296 Issued in HI
Practice address
1166 Fort St Ste 102
Honolulu, HI 96813-2785
Phone
(808) 544-9360
Fax
(808) 543-8032
NPI assigned
Aug 21, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AT-296 HI Primary

Addresses

Primary practice location

1166 Fort St Ste 102
Honolulu, HI 96813-2785

Mailing address

1166 Fort St Ste 102
Honolulu, HI 96813-2785
Phone (808) 544-9360

Other identifiers 1

IdentifierTypeStateIssuer
2000020269OtherCABOARD OF CERTIFICATION ATC

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

State licenses

LicenseStateTypeSpecialty
AT-296HIMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1503273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063938041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1166 FORT ST STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132785",
            "telephone_number": "808-544-9360",
            "fax_number": "808-543-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1166 FORT ST STE 102",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132785",
            "telephone_number": "808-544-9360",
            "fax_number": "808-543-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPINOZA",
        "first_name": "JAMES ARNEL",
        "middle_name": "CRUZ",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "HI",
            "license": "AT-296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF CERTIFICATION ATC",
            "identifier": "2000020269",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.