Pablo Raul Fontora, PES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

17227 Mount Stephen Ave
Santa Clarita, CA 91387-3135

Phone

(661) 889-1490

NPI assigned

Apr 12, 2021

Sex

Male

Sole proprietor

Yes

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": "1618185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1134709249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17227 MOUNT STEPHEN AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913873135",
            "telephone_number": "661-250-4833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17227 MOUNT STEPHEN AVE",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913873135",
            "telephone_number": "661-889-1490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17227 Mount Stephen Ave",
            "address_purpose": "LOCATION",
            "city": "Santa Clarita",
            "state": "CA",
            "postal_code": "913873135",
            "country_code": "US",
            "telephone_number": "661-889-1490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FONTORA",
        "first_name": "PABLO",
        "middle_name": "RAUL",
        "credential": "PES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-12",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Flores
• Narally Flores
• Nataly Flores
• Saray Elizabeth Flores
• Csilla Fodor, FNP-C
• Julie Nicole Foos
• Megan Ford-Miller, RBT
• Almonique S Ford
• Derrick Fortune
• Christopher Foss, MD

• Athletic Trainer in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 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.