Adam David Graham

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

17111 Goldenwest St.
Apt. S7
Huntington Beach, CA 92467

Phone

(951) 537-8924

NPI assigned

Jun 8, 2017

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": "1496880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496880000000",
    "number": "1154850584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17111 GOLDENWEST ST APT S7",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926475408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17111 GOLDENWEST ST.",
            "address_2": "APT. S7",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "92467",
            "telephone_number": "951-537-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-06-08",
        "last_updated": "2017-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gouveia, M.A., BCBA
• Steven Richard Graboff, MD
• Alicia Caroline Grabowski, MPH, RD
• Sarah A Grace
• Graciela K Sullivan DDS Inc
• Kristjana Dianne Graham, NCTMB
• Lina Granberg
• Deborah Ann Grange, P.T., O.C.S.
• Ashley Granger
• Natalie Granofsky

• Athletic Trainer in Huntington Beach, CA
• Providers in Huntington 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 Jun 8, 2017; 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.