Active NPI
Michael Valenzuela, B.S., ATC, LAT
- Athletic Trainer
- San Marcos, TX
National Provider Identifier
1841688249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- AT6006
- Practice address
- 1850 Aquarena Springs Dr
San Marcos, TX 78666-8223 - Phone
- (502) 851-5542
- NPI assigned
- Jan 7, 2015
- 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 | AT6006 | TX | Primary |
Addresses
Primary practice location
1850 Aquarena Springs Dr
San Marcos, TX 78666-8223
Mailing address
1850 Aquarena Springs Dr
San Marcos, TX 78666-8223
Phone (502) 851-5542
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
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AT6006 | TX | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1461283200000",
"number": "1841688249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1850 AQUARENA SPRINGS DR",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786668223",
"telephone_number": "502-851-5542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 AQUARENA SPRINGS DR",
"city": "SAN MARCOS",
"state": "TX",
"postal_code": "786668223",
"telephone_number": "502-851-5542"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "MICHAEL",
"name_prefix": "Mr.",
"credential": "B.S., ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-01-07",
"last_updated": "2016-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "TX",
"license": "AT6006",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Marcos, TX
- Ucg Central Texas Holdings LLC
- Joshua Urrutia, MS
- USA Emergency Centers - San Marcos (Ally Medical Emergency Room San Marcos)
- Alyssa Valdez
- Bethany Valencia, FNP
- Van de Walle Family Dentistry
- Thomas Gregory Van de Walle, DDS
- Robert W Vanboven, MD DDS
- Hector Hugo Vasquez, M.D.
- Brittanie Vaughn, MAT, ATC, LAT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.