Active NPI
Corey Newton, MA, LAT, ATC
- Athletic Trainer
- Los Angeles, CA
National Provider Identifier
1770907156
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT5317
- Practice address
- 940 W 35TH St
Los Angeles, CA 90089-3211 - Phone
- (213) 740-6848
- Fax
- (213) 740-0504
- NPI assigned
- Feb 6, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT5317 | TX | Primary |
Addresses
Primary practice location
940 W 35TH St
Los Angeles, CA 90089-3211
Mailing address
10965 Bluffside Dr
#157
Studio City, CA 91604-3330
Phone (903) 654-7905
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 |
|---|---|---|---|
| AT5317 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485388800000",
"number": "1770907156",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10965 BLUFFSIDE DR",
"address_2": "#157",
"city": "STUDIO CITY",
"state": "CA",
"postal_code": "916043330",
"telephone_number": "903-654-7905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "940 W 35TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900893211",
"telephone_number": "213-740-6848",
"fax_number": "213-740-0504"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEWTON",
"first_name": "COREY",
"credential": "MA, LAT, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-06",
"last_updated": "2017-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT5317",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.