Chad A Peters, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

26455 Rockwell Canyon Rd
Santa Clarita, CA 91355-1803

Phone

(661) 362-3491

Fax

(661) 255-2972

NPI assigned

Oct 13, 2008

Last updated

Oct 13, 2008By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1223856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1223856000000",
    "number": "1760634497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26455 ROCKWELL CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551803",
            "telephone_number": "661-362-3491",
            "fax_number": "661-255-2972"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26455 ROCKWELL CANYON RD",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913551803",
            "telephone_number": "661-362-3491",
            "fax_number": "661-255-2972"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "CHAD",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-10-13",
        "last_updated": "2008-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Ashley Persall, MSW
• Essie Peschong, RN
• Daisy Petcharamuk
• Peter Nicolazzo, M.D., Inc
• Cynthia Peter
• Luke Christopher Peters, MD
• Marcy A Petrique
• Brittani Peyton, LPCC
• Amanda Diane Pfau
• Dorothy Diane Pfeiffer

• Athletic Trainer in Santa Clarita, CA
• Providers in Santa Clarita, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2008; 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.