Active NPI
Alexander Myles Carpenter, ATC
- Athletic Trainer
- Hayward, CA
National Provider Identifier
1194517847
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000057223
- Practice address
- 1545 Denton Ave
Hayward, CA 94545-3466 - Phone
- (646) 673-1988
- NPI assigned
- May 20, 2025
- 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 | 2000057223 | CA | Primary |
Addresses
Primary practice location
1545 Denton Ave
Hayward, CA 94545-3466
Mailing address
1545 Denton Ave
Hayward, CA 94545-3466
Phone (646) 673-1988
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000057223 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1747699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1194517847",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1545 DENTON AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945453466",
"telephone_number": "646-673-1988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1545 DENTON AVE",
"city": "HAYWARD",
"state": "CA",
"postal_code": "945453466",
"telephone_number": "646-673-1988"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARPENTER",
"first_name": "ALEXANDER",
"middle_name": "MYLES",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2025-05-20",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000057223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hayward, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.