Ethan Szeto

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

9676 Hawkes Bay CT
Elk Grove, CA 95757-4614

Phone

(916) 882-1686

NPI assigned

Jul 10, 2024

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

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": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1093552812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9676 HAWKES BAY CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957574614",
            "telephone_number": "916-882-1686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9676 HAWKES BAY CT",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957574614",
            "telephone_number": "916-882-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SZETO",
        "first_name": "ETHAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swift Non Emergency Medical Transportation
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• Abbie Sysengchanh
• Eric Szymonski, OT
• Linh Ta
• Roman Richard Tabayoyon
• Bless Tabel
• Tactical Athlete Performance & Physical Therapy Specialists, Inc.

• Athletic Trainer in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.