Jaclyn Michelle Alongi-Lee, MA, ATC
Individual provider Active NPI Athletic Trainer · Santa Clara, CA
NPI 1316449283 · NPPES record last updated Mar 6, 2018
Key facts
- NPI
- 1316449283
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Athletic Trainer 2255A2300X
- Practice address
- 500 El Camino Real
Santa Clara, CA 95050-4345 - Phone
- (408) 554-6967
- NPI assigned
- Mar 6, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | Yes |
Addresses
Primary practice location
500 El Camino Real
Santa Clara, CA 95050-4345
Mailing address
6023 Crossmont CT
San Jose, CA 95120-1526
Other providers in Santa Clara, CA
- Samuel Joseph Allmon
- Ally Mobility
- Ally Mobility LLC
- Rasheeda N. Ally
- Marisol Almodovar
- Pamela Altaffer
- Christina Altemueller
- Esra Nur Altun
- Charlene Alugbue
- Ayokunmi Aluko
All providers in Santa Clara, CA · Athletic Trainer in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 6, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.