Active NPI
Cesar Arnold Roldan Jr., ATC
- Athletic Trainer
- Pico Rivera, CA
National Provider Identifier
1205228954
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000019323
- Practice address
- 8827 Sandlock St
Pico Rivera, CA 90660-3465 - Phone
- (562) 652-1095
- NPI assigned
- Mar 3, 2015
- 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 | 2000019323 | CA | Primary |
Addresses
Primary practice location
8827 Sandlock St
Pico Rivera, CA 90660-3465
Mailing address
8827 Sandlock St
Pico Rivera, CA 90660-3465
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2000019323 | Other | CA | ATHLETIC TRAINING BOARD OF CERTIFICATION |
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 |
|---|---|---|---|
| 2000019323 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425340800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425340800000",
"number": "1205228954",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8827 SANDLOCK ST",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906603465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8827 SANDLOCK ST",
"city": "PICO RIVERA",
"state": "CA",
"postal_code": "906603465",
"telephone_number": "562-652-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROLDAN",
"first_name": "CESAR",
"middle_name": "ARNOLD",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-03-03",
"last_updated": "2015-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000019323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ATHLETIC TRAINING BOARD OF CERTIFICATION",
"identifier": "2000019323",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Pico Rivera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.