Timothy James Violago, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

003068 Issued in NY

Practice address

300 La Fonda Ave
Santa Cruz, CA 95062-1431

Phone

(516) 408-0083

NPI assigned

Nov 24, 2015

Last updated

Nov 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1448323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448323200000",
    "number": "1629442942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 LA FONDA AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621431",
            "telephone_number": "516-408-0083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LA FONDA AVE",
            "city": "SANTA CRUZ",
            "state": "CA",
            "postal_code": "950621431",
            "telephone_number": "516-408-0083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLAGO",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-24",
        "last_updated": "2015-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NY",
            "license": "003068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jarold Villegas
• Joanna Villegas
• Guadalupe Villicana
• Angela R Vincent
• Elizabeth Lee Vines
• Colette R Virostko
• Nancy Jeanne Virostko, L.C.S.W
• Teri Lynn Virostko, LMFT
• Kristina Visic, D.D.S.
• Vista Center for the Blind and Visually Impaired

• Athletic Trainer in Santa Cruz, CA
• Providers in Santa Cruz, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2015; 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.