Jack Harry Bauerle, MS, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

3670 San Antonio Rd
Yorba Linda, CA 92886-6972

Phone

(714) 394-8127

Fax

(714) 970-0999

NPI assigned

Aug 21, 2006

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

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1548375009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3670 SAN ANTONIO RD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866972",
            "telephone_number": "714-394-8127",
            "fax_number": "714-970-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3670 SAN ANTONIO RD",
            "city": "YORBA LINDA",
            "state": "CA",
            "postal_code": "928866972",
            "telephone_number": "714-394-8127",
            "fax_number": "714-970-0999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUERLE",
        "first_name": "JACK",
        "middle_name": "HARRY",
        "name_prefix": "Mr.",
        "credential": "MS, ATC, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyung Bang
• Christine Dragoo Baranick, PT
• Jerry Baranick, DPT
• Thomas Barker, M.D.
• Edward R Barragan, D.D.S.
• Mohini Bawa, PHARMD
• Jennifer Beach
• Debra Ann Beatty, RN
• Beavans Medical
• Beavans Medical, Inc.

• Athletic Trainer in Yorba Linda, CA
• Providers in Yorba Linda, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.