Jaison M Wardrop, MA, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

2530 Professional Pkwy
Santa Maria, CA 93455-1602

Phone

(805) 928-4465

NPI assigned

May 17, 2007

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 Arts

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Coastal Communities Physician Network, Inc.

  • Health Maintenance Organization
  • San Luis Obispo, CA
  • NPI 1275735011
  NPD (past)
• Sims Physical Therapy Inc

  • Physical Therapist
  • Santa Maria, CA
  • NPI 1164445565
  NPD (past)

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

{
    "created_epoch": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578770376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 BELLO RD",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934557405",
            "telephone_number": "530-926-5505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2530 PROFESSIONAL PKWY",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934551602",
            "telephone_number": "805-928-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARDROP",
        "first_name": "JAISON",
        "middle_name": "M",
        "credential": "MA, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-17",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Walters
• Nicolas Asher Walton, D.O.
• Tabitha Wambaa
• Wanda J. Spencer, M.D., a Professional Corporation
• Matthew Aaron Ward
• Sabrina Warhola, OD
• Emma Warren, M.S., ED.S., PPS
• Jessica R Warren, P.T.
• Sunitha Warrier, OTR/L
• George M Warwick II, DO

• Athletic Trainer in Santa Maria, CA
• Providers in Santa Maria, 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.