Kimberly Mathews, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1850 Sullivan Ave Ste 330
Daly City, CA 94015-2204

Phone

(650) 756-5630

NPI assigned

Mar 11, 2015

Last updated

Oct 31, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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": "1426032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635638400000",
    "number": "1346633526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 EVERGREEN ST",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944013412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 SULLIVAN AVE STE 330",
            "city": "DALY CITY",
            "state": "CA",
            "postal_code": "940152204",
            "telephone_number": "650-756-5630"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Industrial Rd Ste 11A",
            "address_purpose": "LOCATION",
            "city": "San Carlos",
            "state": "CA",
            "postal_code": "940704167",
            "country_code": "US",
            "telephone_number": "650-766-1715",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "50 Embarcadero Rd",
            "address_purpose": "LOCATION",
            "city": "Palo Alto",
            "state": "CA",
            "postal_code": "943012321",
            "country_code": "US",
            "telephone_number": "650-766-1715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATHEWS",
        "first_name": "KIMBERLY",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-11",
        "last_updated": "2021-10-31",
        "certification_date": "2021-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sean Ross Mawhood, P.T.A.
• Hanelye Mazariegos
• Daniel McAfee

• Athletic Trainer in Daly City, CA
• Providers in Daly City, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2021; 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.