Jesus Tinoco-Malacara, ATC, EMT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000050115 Issued in CA

Practice address

406 E 61St St
Long Beach, CA 90805-2904

Phone

(562) 331-8276

NPI assigned

Aug 26, 2021

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

Credentials

Emergency Medical Technician

State licenses

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1124795182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "406 E 61ST ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908052904",
            "telephone_number": "562-331-8276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 E 61ST ST",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908052904",
            "telephone_number": "562-331-8276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TINOCO-MALACARA",
        "first_name": "JESUS",
        "credential": "ATC, EMT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000050115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Timonian, MD
• Lisa Marie Tinch, RN
• Walter Tindal
• Tennesy L. Ting, RPT
• Richard C Tingey, PH.D.
• Ann Tintly, PA-C
• Holly Brice Olenalani Tinturin, MA
• Tiny Bees Speech-Language Therapy Inc
• Tiny Sprouts Therapy Speech Language Pathology, Inc.
• Billy John Tioseco, RN

• Athletic Trainer in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.