Active NPI
Lorraine Nunez-Santana, BI
- Athletic Trainer
- Tustin, CA
National Provider Identifier
1073310470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- Y9463133
- Practice address
- 290 S Prospect Ave
Tustin, CA 92780-1522 - Phone
- (415) 646-6223
- NPI assigned
- Feb 25, 2025
- Last updated
- Feb 25, 2025
- 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 | Y9463133 | CA | Primary |
Addresses
Primary practice location
290 S Prospect Ave
Tustin, CA 92780-1522
Mailing address
1324 E 59TH PL
Los Angeles, CA 90001-1212
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
| License | State | Type | Specialty |
|---|---|---|---|
| Y9463133 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740441600000",
"number": "1073310470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1324 E 59TH PL",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900011212"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "290 S PROSPECT AVE",
"city": "TUSTIN",
"state": "CA",
"postal_code": "927801522",
"telephone_number": "415-646-6223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NUNEZ-SANTANA",
"first_name": "LORRAINE",
"credential": "BI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-25",
"last_updated": "2025-02-25",
"certification_date": "2025-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "Y9463133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tustin, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.