Calvin Mitchell Bobbitt Hom, ATC, LAT, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

900 University Ave
Riverside, CA 92521-2112

Phone

(661) 755-8831

NPI assigned

Feb 3, 2018

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 6

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1517616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706400000000",
    "number": "1114426319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25909 MORENO DR",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913552112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 UNIVERSITY AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925212112",
            "telephone_number": "661-755-8831"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "25909 Moreno Dr",
            "address_purpose": "LOCATION",
            "city": "Valencia",
            "state": "CA",
            "postal_code": "913552112",
            "country_code": "US",
            "telephone_number": "661-755-8831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6100 Main St # MS 552",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770051827",
            "country_code": "US",
            "telephone_number": "661-755-8831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Tucker Dr",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741049700",
            "country_code": "US",
            "telephone_number": "661-755-8831",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2125 S Floyd Street",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402922112",
            "country_code": "US",
            "telephone_number": "661-755-8831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOM",
        "first_name": "CALVIN",
        "middle_name": "MITCHELL BOBBITT",
        "name_prefix": "Mr.",
        "credential": "ATC, LAT, PES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-02-03",
        "last_updated": "2024-01-28",
        "certification_date": "2024-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT9206",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "TCA972",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "KY",
            "license": "AT1931",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "OK",
            "license": "1163",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Holmes
• Judith M. Holmes, MD
• Yancy Holmes
• Kenneth G Holt, DC
• Theresa Nicole Holt, RN, BSN, PHN
• Home Care Physician Specialists Inc
• Peter Chris Home, MSW
• Chad Allan Hommerding I
• Hon V Cao DDS Inc
• Linnea Hondorp, NP

• Athletic Trainer in Riverside, CA
• Providers in Riverside, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.