Active NPI
Alvin Cabrera, MA, ATC
- Athletic Trainer
- Costa Mesa, CA
National Provider Identifier
1770124646
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000007469
- Practice address
- 3333 Susan St
Costa Mesa, CA 92626-1632 - Phone
- (657) 356-2004
- NPI assigned
- Oct 2, 2019
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Respiratory Therapist | 227800000X | |||
| Athletic Trainer | 2255A2300X | 2000007469 | CA | Primary |
Addresses
Primary practice location
3333 Susan St
Costa Mesa, CA 92626-1632
Mailing address
3333 Susan St
Costa Mesa, CA 92626-1632
Phone (657) 356-2004
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 Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000007469 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569974400000",
"number": "1770124646",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 SUSAN ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926261632",
"telephone_number": "657-356-2004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 SUSAN ST",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926261632",
"telephone_number": "657-356-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CABRERA",
"first_name": "ALVIN",
"credential": "MA, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-10-02",
"last_updated": "2019-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "227800000X",
"taxonomy_group": "",
"desc": "Respiratory Therapist, Certified",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000007469",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.