Thomas John Murdock, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000014903 Issued in CA

Practice address

6951 S Centinela Ave
Playa Vista, CA 90094-2532

Phone

(209) 769-9060

NPI assigned

Oct 24, 2017

Last updated

Oct 24, 2017By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1508803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1508803200000",
    "number": "1235641788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6951 S CENTINELA AVE",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942532",
            "telephone_number": "209-769-9060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6951 S CENTINELA AVE",
            "city": "PLAYA VISTA",
            "state": "CA",
            "postal_code": "900942532",
            "telephone_number": "209-769-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MURDOCK",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-10-24",
        "last_updated": "2017-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000014903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alia Matthews, MD
• Erin McGinley, N.P.
• Caroline Anne Miller
• Stephanie Mintz, MA, LMFT
• Merle Morgan, L.AC, DIP AC
• Neurology & Pain Management Specialists Inc
• Jimy Nguyen
• Marina Nikiforova, D.C.
• Tara Nowakhtar
• Valerij Oks

• Athletic Trainer in Playa Vista, CA
• Providers in Playa Vista, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2017; 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.