Active NPI
Robert Louis Dalnoki, ATC, MS
- Athletic Trainer
- Fremont, CA
National Provider Identifier
1831635846
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 110202152
- Practice address
- 4006 Mattos Dr
Fremont, CA 94536-5007 - Phone
- (510) 303-1806
- NPI assigned
- Jan 13, 2017
- 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 | 110202152 | CA | Primary |
Addresses
Primary practice location
4006 Mattos Dr
Fremont, CA 94536-5007
Mailing address
4006 Mattos Dr
Fremont, CA 94536-5007
Phone (510) 303-1806
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 110202152 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484265600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484265600000",
"number": "1831635846",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4006 MATTOS DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365007",
"telephone_number": "510-303-1806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4006 MATTOS DR",
"city": "FREMONT",
"state": "CA",
"postal_code": "945365007",
"telephone_number": "510-303-1806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DALNOKI",
"first_name": "ROBERT",
"middle_name": "LOUIS",
"credential": "ATC, MS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-01-13",
"last_updated": "2017-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "110202152",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fremont, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 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.