Iancarlo Morales, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2222 Broadway St
San Francisco, CA 94115-1240

Phone

(209) 829-8071

NPI assigned

Apr 12, 2018

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

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722470400000",
    "number": "1275030538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 BONTA AVE",
            "city": "GUSTINE",
            "state": "CA",
            "postal_code": "953221723",
            "telephone_number": "209-829-8071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 BROADWAY ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941151240",
            "telephone_number": "209-829-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORALES",
        "first_name": "IANCARLO",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-12",
        "last_updated": "2024-08-01",
        "certification_date": "2024-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Cesar Morales
• Don Russel Morales
• Eduardo S Morales
• Elva Morales
• Erick Humberto Morales
• Jesus Morales
• Luz Morales
• Martin Morales, CMT
• Melanie Felipe Morales
• Melina Daniella Morales

• Athletic Trainer in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2024; 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.