Marc Hinson, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT.0002554 Issued in CO

Practice address

3434 Villa Ter
San Diego, CA 92104-3424

Phone

(706) 304-8004

NPI assigned

Apr 28, 2022

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

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": "1651104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683072000000",
    "number": "1376288910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3434 VILLA TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043424",
            "telephone_number": "706-304-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3434 VILLA TER",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921043424",
            "telephone_number": "706-304-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINSON",
        "first_name": "MARC",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-28",
        "last_updated": "2023-05-03",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CO",
            "license": "AT.0002554",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sergio Raymundo Hinojosa
• Janet Rose Hinostroza
• Leesa-Gay Hinsch
• Emily Lillian Hinson
• Laurel Marie Hinson
• Teresa Hinson, FNP
• David Alexander Hinton, SFIDC
• Monica D. Hinton, M. A.
• Toure Marlow Hinton
• John M. Hintz, PH.D.

• Athletic Trainer in San Diego, CA
• Providers in San Diego, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 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.