Active NPI
Colby Claridy, ATC
- Athletic Trainer
- Playa Vista, CA
National Provider Identifier
1811540776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0506268
- Practice address
- 6951 S Centinela Ave
Playa Vista, CA 90094-2532 - Phone
- (702) 596-3116
- NPI assigned
- Jul 19, 2019
- Sex
- Male
- Sole proprietor
- No
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 | 0506268 | NV | Primary |
Addresses
Primary practice location
6951 S Centinela Ave
Playa Vista, CA 90094-2532
Mailing address
639 N Broadway Apt 524
Los Angeles, CA 90012-4522
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0506268 | NV | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563494400000",
"number": "1811540776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "639 N BROADWAY APT 524",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900124522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6951 S CENTINELA AVE",
"city": "PLAYA VISTA",
"state": "CA",
"postal_code": "900942532",
"telephone_number": "702-596-3116"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLARIDY",
"first_name": "COLBY",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-07-19",
"last_updated": "2019-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NV",
"license": "0506268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Playa Vista, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 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.