Individual provider Active NPI

Anthony Vincent Geiger Jr., ATC

  • Athletic Trainer
  • San Luis Obispo, CA
National Provider Identifier
1649675901
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
7400, Highway One
Shipping/Receiving, Building
San Luis Obispo, CA 93405-8106
Phone
(805) 546-3225
Fax
(805) 564-3158
NPI assigned
Oct 29, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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 Primary

Addresses

Primary practice location

7400, Highway One
Shipping/Receiving, Building
San Luis Obispo, CA 93405-8106

Mailing address

PO Box 303
175 S. 3Rd Street
Shandon, CA 93461-0303
Phone (805) 546-3225

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

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1649675901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 303",
            "address_2": "175 S. 3RD STREET",
            "city": "SHANDON",
            "state": "CA",
            "postal_code": "934610303",
            "telephone_number": "805-546-3225",
            "fax_number": "805-463-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400, HIGHWAY ONE",
            "address_2": "SHIPPING/RECEIVING, BUILDING",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934058106",
            "telephone_number": "805-546-3225",
            "fax_number": "805-564-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GEIGER",
        "first_name": "ANTHONY",
        "middle_name": "VINCENT",
        "name_suffix": "Jr.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Luis Obispo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.