Emerald Molina, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000021962

Practice address

16 Ravilla CT
Daly City, CA 94014-1328

Phone

(415) 866-5234

NPI assigned

Mar 29, 2018

Last updated

Mar 29, 2018By the provider in NPPES

Sex

Female

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

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1194220178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PORTOLA RD",
            "city": "PORTOLA VALLEY",
            "state": "CA",
            "postal_code": "940287852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 RAVILLA CT",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940141328",
            "telephone_number": "415-866-5234"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "EMERALD",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000021962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MM Park Dental Inc (Ingleside Dental Group)
• MMB Transportation Services, LLC
• Scott K Mock, D.D.S., M.P.H.
• Camila Moffitt
• Laura Molina Arce
• Joseph Andrew Mollick, M.D.
• Edoardo C Montemayor
• Jeremy Montemayor, ACNPC-AG
• Michelle Eunh Moon, PHARM.D.
• Christi Morales-Kumasawa, ASSOCIATE MFT

• Athletic Trainer in Daly City, CA
• Providers in Daly City, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; 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.