Isabella Leah Pregozen, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2375 3Rd St
Riverside, CA 92507

Phone

(951) 683-2912

NPI assigned

Nov 15, 2017

Sex

Female

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1326551151",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WILDROSE AVE",
            "city": "MONROVIA",
            "state": "CA",
            "postal_code": "910163034",
            "telephone_number": "661-904-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 3RD ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "92507",
            "telephone_number": "951-683-2912"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18111 Nordhoff St Redwood Hall",
            "address_purpose": "LOCATION",
            "city": "Northridge",
            "state": "CA",
            "postal_code": "913304728",
            "country_code": "US",
            "telephone_number": "818-677-7516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14425 Yorba Ave",
            "address_purpose": "LOCATION",
            "city": "Chino",
            "state": "CA",
            "postal_code": "91710",
            "country_code": "US",
            "telephone_number": "909-393-9475",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5500 Campanile Drive",
            "address_2": "SDSU Department of Athletics, Athletic Medicine",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92182",
            "country_code": "US",
            "telephone_number": "661-904-1718",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16301 Chimney Rock Rd",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770534299",
            "country_code": "US",
            "telephone_number": "281-634-2495",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16811 Southwest Fwy # 200",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774794728",
            "country_code": "US",
            "telephone_number": "832-667-6211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PREGOZEN",
        "first_name": "ISABELLA",
        "middle_name": "LEAH",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-15",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7542",
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "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 Jan 24, 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.