Active NPI
Ieremia Garrigan Afamasaga, ATC
- Athletic Trainer
- Sacramento, CA
National Provider Identifier
1629740154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000050260
- Practice address
- 7956 Cottonwood Lane
Sacramento, CA 95828 - Phone
- (916) 689-8600
- NPI assigned
- Oct 3, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2000050260 | CA | Primary |
Addresses
Primary practice location
7956 Cottonwood Lane
Sacramento, CA 95828
Mailing address
7283 Florin Mall Drive Unit 13
Sacramento, CA 95823
Phone (916) 670-2567
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2000050260 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1633219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1633219200000",
"number": "1629740154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7283 FLORIN MALL DRIVE UNIT 13",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95823",
"telephone_number": "916-670-2567"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7956 COTTONWOOD LANE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95828",
"telephone_number": "916-689-8600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARRIGAN AFAMASAGA",
"first_name": "IEREMIA",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-10-03",
"last_updated": "2021-10-03",
"certification_date": "2021-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000050260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.