Justine Laraya Iongi, ATC, MA

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000004148 Issued in CA

Practice address

50 Embarcadero Rd
Palo Alto, CA 94301-2321

Phone

(707) 319-4497

NPI assigned

Sep 17, 2018

Last updated

Sep 17, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1326522327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2340 RALMAR AVE",
            "city": "EAST PALO ALTO",
            "state": "CA",
            "postal_code": "943031038",
            "telephone_number": "707-319-4497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 EMBARCADERO RD",
            "city": "PALO ALTO",
            "state": "CA",
            "postal_code": "943012321",
            "telephone_number": "707-319-4497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IONGI",
        "first_name": "JUSTINE",
        "middle_name": "LARAYA",
        "name_prefix": "Mrs.",
        "credential": "ATC, MA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000004148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anne Ingham
• Randall N Inouye, D.D.S., M.S.D.
• Institute of Physical Therapy and Pelvic Health Inc
• Integrated Health Care
• Integrative Womens Care PC (Midi Health PC)
• Andres Ip Chen
• Lucas Ip Chen
• Wui Ip, MD
• Farwah Iqbal, MD, PHD
• Samina Iqbal, M.D.

• Athletic Trainer in Palo Alto, CA
• Providers in Palo Alto, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; 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.