Active NPI
Scott Christopher Chromy
- Athletic Trainer
- Chula Vista, CA
National Provider Identifier
1396258125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- STUDENT
- Practice address
- 900 Otay Lakes Rd
Chula Vista, CA 91910-7223 - Phone
- (510) 552-5119
- NPI assigned
- Nov 15, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | CA | ||
| Athletic Trainer | 2255A2300X | STUDENT | CA | Primary |
Addresses
Primary practice location
900 Otay Lakes Rd
Chula Vista, CA 91910-7223
Mailing address
1657 La Ribera LN # 1
Chula Vista, CA 91913-2526
Phone (510) 552-5119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| STUDENT | CA | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1396258125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1657 LA RIBERA LN # 1",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919132526",
"telephone_number": "510-552-5119"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 OTAY LAKES RD",
"city": "CHULA VISTA",
"state": "CA",
"postal_code": "919107223",
"telephone_number": "510-552-5119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHROMY",
"first_name": "SCOTT",
"middle_name": "CHRISTOPHER",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-11-15",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "STUDENT",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chula Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.