Jorge Ernesto Maldonado Jr.

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

1800 H St
Union City, CA 94587-3321

Phone

(510) 471-2520

Fax

(510) 487-8457

NPI assigned

Sep 5, 2018

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

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

{
    "created_epoch": "1536105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536105600000",
    "number": "1700368776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 H ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873321",
            "telephone_number": "510-471-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 H ST",
            "city": "UNION CITY",
            "state": "CA",
            "postal_code": "945873321",
            "telephone_number": "510-471-2520",
            "fax_number": "510-487-8457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALDONADO",
        "first_name": "JORGE",
        "middle_name": "ERNESTO",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-09-05",
        "last_updated": "2018-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Mai, PSYD
• Kirsty Lynn Maksel, M.S., CCC-SLP
• Malama Hale Inc.
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• Jacob Daniel Maland, PHARMD
• Nimoli Malhotra
• Karen Manalac
• Steve C. Manitsas, MD
• Kawalpreet Manku, M.D.
• Karin Manning

• Athletic Trainer in Union City, CA
• Providers in Union City, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 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.