Daniel Joseph Desmond V, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

12 E 18TH St
Marysville, CA 95901

Phone

(530) 741-6180

NPI assigned

Apr 4, 2017

Last updated

Jun 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1491264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529193600000",
    "number": "1700319027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "790 RAMIREZ ROAD",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "95901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E 18TH ST",
            "city": "MARYSVILLE",
            "state": "CA",
            "postal_code": "95901",
            "telephone_number": "530-741-6180"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Ramirez Rd",
            "address_purpose": "LOCATION",
            "city": "Marysville",
            "state": "CA",
            "postal_code": "959019444",
            "country_code": "US",
            "telephone_number": "530-755-6198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DESMOND",
        "first_name": "DANIEL",
        "middle_name": "JOSEPH",
        "name_suffix": "V",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-04",
        "last_updated": "2018-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asha L Davis, BACHELORS DEGREE
• James Franklin Davis, MFT
• Morgan Davis
• Jennie Deal, CADC 1
• Monica Nicole Delgado
• Kathryn Rebecca Devore, ACSW
• Gia Elena Dewhurst
• Harjinder S Dhaliwal, M.D.
• Harmanjeet C Dhaliwal, M.D.
• Nishi Dhanota, MS, PA-C

• Athletic Trainer in Marysville, CA
• Providers in Marysville, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2018; 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.