James Bauman Clover Jr., MED, ATC, PTA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

790198

Practice address

4444 Magnolia Ave
Riverside, CA 92501-4136

Phone

(951) 274-3484

Fax

(951) 274-3599

NPI assigned

Feb 21, 2006

Last updated

Jul 9, 2013By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

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

{
    "created_epoch": "1140480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373328000000",
    "number": "1275508400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 BEECHWOOD PL",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925061217",
            "telephone_number": "951-274-3484",
            "fax_number": "951-274-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014136",
            "telephone_number": "951-274-3484",
            "fax_number": "951-274-3599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOVER",
        "first_name": "JAMES",
        "middle_name": "BAUMAN",
        "name_prefix": "Ms.",
        "name_suffix": "Jr.",
        "credential": "MED, ATC, PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-21",
        "last_updated": "2013-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "07802652",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "790198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Athletic Trainer in Riverside, CA
• Providers in Riverside, 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 9, 2013; 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.