Brian Thomas Latino, ATC, PES, CES

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

020602046 Issued in CA

Practice address

10 Bradford Way
Mill Valley, CA 94941

Phone

(415) 388-8436

NPI assigned

Feb 19, 2010

Last updated

Feb 19, 2010By the provider in NPPES

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

State licenses

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

{
    "created_epoch": "1266537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266537600000",
    "number": "1780906636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 BRADFORD WAY",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94941",
            "telephone_number": "415-388-8436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 BRADFORD WAY",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "94941",
            "telephone_number": "415-388-8436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATINO",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "credential": "ATC, PES, CES",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-02-19",
        "last_updated": "2010-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "020602046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Lanes, PA-C, MPH, MSPAS
• William Lang, M.D.
• Kris Langley, M.S., M.A.
• Daniel Lappin, CMT
• Elizabeth Jordanna Large
• David A Laub, M.D.
• Anne Lauver
• Steven Richard Lavine, M.D.
• Alison Guile Lavoy, M.D.
• Patricia Leah Lazar, LMFT

• Athletic Trainer in Mill Valley, CA
• Providers in Mill Valley, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2010; 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.