Individual provider Active NPI

Denise Renee Noleroth, ATC, MA, CSCS, CMP

  • Athletic Trainer
  • Oakland, CA
National Provider Identifier
1457327074
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
970443 Issued in CA
Practice address
9500 Stearns Ave
Oakland, CA 94605-4720
Phone
(510) 577-9100
Fax
(510) 638-3259
NPI assigned
Feb 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 970443 CA Primary

Addresses

Primary practice location

9500 Stearns Ave
Oakland, CA 94605-4720

Mailing address

8171 Peppertree CT
Dublin, CA 94568-1046
Phone (925) 833-9141

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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
970443CAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1457327074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8171 PEPPERTREE CT",
            "city": "DUBLIN",
            "state": "CA",
            "postal_code": "945681046",
            "telephone_number": "925-833-9141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 STEARNS AVE",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946054720",
            "telephone_number": "510-577-9100",
            "fax_number": "510-638-3259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLEROTH",
        "first_name": "DENISE",
        "middle_name": "RENEE",
        "name_prefix": "Ms.",
        "credential": "ATC, MA, CSCS, CMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "970443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.