Ruemruk Malasarn, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

3801 West Temple Ave.
Department of Athletics
Pomona, CA 91768

Phone

(909) 869-2834

NPI assigned

May 3, 2007

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• California State Polytechnic University

  • Student Health Clinic/Center
  • Pomona, CA
  • NPI 1063694479
  NPD (past)

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205058583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 SAN LUIS REY RD.",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "91007",
            "telephone_number": "909-869-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 WEST TEMPLE AVE.",
            "address_2": "DEPARTMENT OF ATHLETICS",
            "city": "POMONA",
            "state": "CA",
            "postal_code": "91768",
            "telephone_number": "909-869-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALASARN",
        "first_name": "RUEMRUK",
        "name_prefix": "Mr.",
        "credential": "ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abdilrahman Majeed
• Natalie Majors
• Pravinchandra K Makadia, D.D.S.
• Megan Malabanan, DPT
• Malakeh Zahedi DDS Inc.
• Thomas Michael Malcolm, ADC CERT
• Maria Maldonado Cardenas
• Gloria Maldonado
• Prisca Maldonado
• Susana Maldonado

• Athletic Trainer in Pomona, CA
• Providers in Pomona, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.