Active NPI
Tanner Fowler
- Athletic Trainer
- San Jose, CA
National Provider Identifier
1184279226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 1306 The Alameda Apt 221
San Jose, CA 95126-5014 - Phone
- (308) 991-5227
- NPI assigned
- Aug 6, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Primary |
Addresses
Primary practice location
1306 The Alameda Apt 221
San Jose, CA 95126-5014
Mailing address
1306 The Alameda Apt 221
San Jose, CA 95126-5014
Other practice location 1
500 El Camino Real
Santa Clara, CA 95050-4345
Phone (308) 991-5227
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1565049600000",
"number": "1184279226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1306 THE ALAMEDA APT 221",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951265014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1306 THE ALAMEDA APT 221",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951265014",
"telephone_number": "308-991-5227"
}
],
"practiceLocations": [
{
"address_1": "500 El Camino Real",
"address_purpose": "LOCATION",
"city": "Santa Clara",
"state": "CA",
"postal_code": "950504345",
"country_code": "US",
"telephone_number": "308-991-5227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FOWLER",
"first_name": "TANNER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-08-06",
"last_updated": "2019-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.