Individual provider Active NPI

Javier Margarito Jr., MA, ATC, CMT

  • Athletic Trainer
  • Los Altos Hills, CA
National Provider Identifier
1104378348
Registry record updated Oct 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
BOC 2000002355 Issued in NE
Practice address
26800 W Fremont Rd
Los Altos Hills, CA 94022-1919
Phone
(650) 209-3131
NPI assigned
Nov 3, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X 24271 CA
Athletic Trainer 2255A2300X BOC 2000002355 NE Primary

Addresses

Primary practice location

26800 W Fremont Rd
Los Altos Hills, CA 94022-1919

Mailing address

26800 W Fremont Rd
Los Altos Hills, CA 94022-1919
Phone (650) 209-3131

Other practice location 1

21840 McClellan Rd
Cupertino, CA 95014-4055
Phone (408) 366-7631

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 Arts

State licenses

LicenseStateTypeSpecialty
BOC 2000002355NEMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698278400000",
    "number": "1104378348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26800 W FREMONT RD",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940221919",
            "telephone_number": "650-209-3131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26800 W FREMONT RD",
            "city": "LOS ALTOS HILLS",
            "state": "CA",
            "postal_code": "940221919",
            "telephone_number": "650-209-3131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21840 McClellan Rd",
            "address_purpose": "LOCATION",
            "city": "Cupertino",
            "state": "CA",
            "postal_code": "950144055",
            "country_code": "US",
            "telephone_number": "408-366-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARGARITO",
        "first_name": "JAVIER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MA, ATC, CMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-03",
        "last_updated": "2023-10-26",
        "certification_date": "2023-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CA",
            "license": "24271",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NE",
            "license": "BOC 2000002355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Altos Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; 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.