Suzy S Ghattas, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

31970 Central St
Wildomar, CA 92595-9709

Phone

(951) 678-7000

NPI assigned

Jan 12, 2018

Sex

Female

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": "1515715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831607803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11112 MINES BLVD",
            "city": "WHITTIER",
            "state": "CA",
            "postal_code": "906061843",
            "telephone_number": "562-322-3455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31970 CENTRAL ST",
            "city": "WILDOMAR",
            "state": "CA",
            "postal_code": "925959709",
            "telephone_number": "951-678-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5927 W Imperial Hwy Rm 243",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900456303",
            "country_code": "US",
            "telephone_number": "562-322-3455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GHATTAS",
        "first_name": "SUZY",
        "middle_name": "S",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-12",
        "last_updated": "2018-03-17",
        "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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• Rachel Garcia
• Stephanie Garcia
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• Isabelle Ghosn, RBT
• Dante Gibson, PHARM.D.
• Juliana Gil
• Ryan Gilbert
• Tanya Ann Gillick, PPS SCHOOL COUNSELIN

• Athletic Trainer in Wildomar, CA
• Providers in Wildomar, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.