Individual provider Active NPI

Rosalinda Sanchez Miranda, ATC

  • Athletic Trainer
  • Oakland, CA
National Provider Identifier
1629612403
Registry record updated Dec 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000037481 Issued in CA
Practice address
9500 Steams Ave.
Oakland, CA 94605
Phone
(818) 694-3960
NPI assigned
Nov 4, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2022

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 2000037481 CA Primary

Addresses

Primary practice location

9500 Steams Ave.
Oakland, CA 94605

Mailing address

800 38TH St
Richmond, CA 94805-1321
Phone (818) 694-3960

Other practice location 1

2795 W 8th St Apt 108
Los Angeles, CA 90005-1200
Phone (818) 694-3960

Other practice location 2

800 38th St
Richmond, CA 94805-1321
Phone (818) 694-3960

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

LicenseStateTypeSpecialty
2000037481CAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1572825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670371200000",
    "number": "1629612403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 38TH ST",
            "city": "RICHMOND",
            "state": "CA",
            "postal_code": "948051321",
            "telephone_number": "818-694-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 STEAMS AVE.",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "94605",
            "telephone_number": "818-694-3960"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2795 W 8th St Apt 108",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900051200",
            "country_code": "US",
            "telephone_number": "818-694-3960",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 38th St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "CA",
            "postal_code": "948051321",
            "country_code": "US",
            "telephone_number": "818-694-3960",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ MIRANDA",
        "first_name": "ROSALINDA",
        "name_prefix": "Miss",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-04",
        "last_updated": "2022-12-07",
        "certification_date": "2022-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000037481",
            "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 Dec 7, 2022; 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.