Richard Rakvin Kieng, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

5753 E Wardlow Rd
Long Beach, CA 90808-3852

Phone

(562) 607-9586

NPI assigned

Dec 11, 2023

Sex

Male

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

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

{
    "created_epoch": "1702252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1326815184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5753 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083852",
            "telephone_number": "562-607-9586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5753 E WARDLOW RD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908083852",
            "telephone_number": "562-607-9586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIENG",
        "first_name": "RICHARD",
        "middle_name": "RAKVIN",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-12-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayashri Kidao, MD
• Brandon L Kidman
• Kids Infectious Disease, Inc.
• Sophia Kien, SUD COUNSELOR/MSWASW
• Jessica Kieng
• Mary Louise Stepan Kiernan, MD
• Peter Andrew Kierstead
• Duc T Kiet, RPH
• Bryan Kift, MD
• Anna Kiiveri

• Athletic Trainer in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; 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.