Individual provider Active NPI

Cailin Dayne Cabico, MS, ATC

  • Athletic Trainer
  • San Diego, CA
National Provider Identifier
1669955233
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
2000052397 Issued in CA
Practice address
6329 Caminito Basilio
San Diego, CA 92111-7208
Phone
(808) 384-2458
NPI assigned
Sep 10, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X HI
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X 2000052397 CA Primary

Addresses

Primary practice location

6329 Caminito Basilio
San Diego, CA 92111-7208

Mailing address

6329 Caminito Basilio
San Diego, CA 92111-7208
Phone (808) 384-2458

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
2000052397CAMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1536537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1669955233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6329 CAMINITO BASILIO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117208",
            "telephone_number": "808-384-2458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6329 CAMINITO BASILIO",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921117208",
            "telephone_number": "808-384-2458"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABICO",
        "first_name": "CAILIN",
        "middle_name": "DAYNE",
        "name_prefix": "Mr.",
        "credential": "MS, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-10",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "2000052397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

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