Emerald Molina, ATC
Individual provider Active NPI Athletic Trainer · Daly City, CA
NPI 1194220178 · NPPES record last updated Mar 29, 2018
Key facts
- NPI
- 1194220178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- License
- 2000021962
- Practice address
- 16 Ravilla CT
Daly City, CA 94014-1328 - Phone
- (415) 866-5234
- NPI assigned
- Mar 29, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000021962 | Yes |
Addresses
Primary practice location
16 Ravilla CT
Daly City, CA 94014-1328
Mailing address
150 Portola Rd
Portola Valley, CA 94028-7852
Other providers in Daly City, CA
- MM Park Dental Inc
- MMB Transportation Services, LLC
- Scott K Mock
- Camila Moffitt
- Laura Molina Arce
- Joseph Andrew Mollick
- Edoardo C Montemayor
- Jeremy Montemayor
- Michelle Eunh Moon
- Christi Morales-Kumasawa
All providers in Daly City, CA · Athletic Trainer in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.