Matthew Cabangun, ATS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

9730 Hopkins Dr
La Jolla, CA 92092-0001

Phone

(858) 822-2572

NPI assigned

Nov 15, 2017

Last updated

Nov 15, 2017By 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": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1770096588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4204 45TH ST UNIT 11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921154877",
            "telephone_number": "951-570-4071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9730 HOPKINS DR",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920920001",
            "telephone_number": "858-822-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABANGUN",
        "first_name": "MATTHEW",
        "credential": "ATS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-15",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lucy Cai

• Athletic Trainer in La Jolla, CA
• Providers in La Jolla, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2017; 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.