Javier Palmas Jr., ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000054650 Issued in CA

Practice address

24302 Nicole CT
Moreno Valley, CA 92551-3626

Phone

(310) 710-6887

NPI assigned

Nov 27, 2023

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

State licenses

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

{
    "created_epoch": "1701043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1649046053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24302 NICOLE CT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925513626",
            "telephone_number": "310-710-6887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24302 NICOLE CT",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925513626",
            "telephone_number": "310-710-6887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMAS",
        "first_name": "JAVIER",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-27",
        "last_updated": "2023-11-27",
        "certification_date": "2023-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000054650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patrick Nicholeus Campo Pagaduan, DO
• Sang Churl Paik, DDS
• Painless Spine Center Inc
• Jonathan David Palacios, DO
• Timothy Palacios
• Troy Palmer, D.O.
• Alan Seow-Meng Pan, D.O.
• Min Pan, PA-C
• Kristin Panos
• Joe Luis Pantoja, MD

• Athletic Trainer in Moreno Valley, CA
• Providers in Moreno Valley, 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 27, 2023; 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.