Active NPI
Eva Elizabeth King, MS, ATC
- Athletic Trainer
- San Diego, CA
National Provider Identifier
1083362214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 4490 W Point Loma Blvd
San Diego, CA 92107-1006 - Phone
- (978) 766-4948
- NPI assigned
- Mar 16, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 | Primary |
Addresses
Primary practice location
4490 W Point Loma Blvd
San Diego, CA 92107-1006
Mailing address
4213 Kansas St Apt 4
San Diego, CA 92104-1846
Phone (707) 364-9766
Other practice location 1
838 Academy Dr
Solana Beach, CA 92075-2034
Phone (858) 755-8900
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 Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1707177600000",
"number": "1083362214",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4213 KANSAS ST APT 4",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921041846",
"telephone_number": "707-364-9766"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4490 W POINT LOMA BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921071006",
"telephone_number": "978-766-4948"
}
],
"practiceLocations": [
{
"address_1": "838 Academy Dr",
"address_purpose": "LOCATION",
"city": "Solana Beach",
"state": "CA",
"postal_code": "920752034",
"country_code": "US",
"telephone_number": "858-755-8900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KING",
"first_name": "EVA",
"middle_name": "ELIZABETH",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-03-16",
"last_updated": "2024-02-06",
"certification_date": "2024-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.