Active NPI
Kean Troy Lusterio De Luna
- Athletic Trainer
- San Diego, CA
National Provider Identifier
1841875101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- Practice address
- 5500 Campanile Dr
San Diego, CA 92182-0001 - Phone
- (619) 992-5762
- NPI assigned
- Mar 17, 2021
- 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 | Primary |
Addresses
Primary practice location
5500 Campanile Dr
San Diego, CA 92182-0001
Mailing address
2386 Spring Oak Way
San Diego, CA 92139-3908
Phone (619) 992-5762
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | kdeluna0000@pointloma.edu | Point Loma Nazarene University |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615939200000",
"number": "1841875101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2386 SPRING OAK WAY",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921393908",
"telephone_number": "619-992-5762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 CAMPANILE DR",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921820001",
"telephone_number": "619-992-5762"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE LUNA",
"first_name": "KEAN TROY",
"middle_name": "LUSTERIO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-03-17",
"last_updated": "2021-03-17",
"certification_date": "2021-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "kdeluna0000@pointloma.edu",
"affiliation": "Y",
"affiliationName": "Point Loma Nazarene University",
"address_1": "5500 Campanile Dr",
"city": "San Diego",
"state": "CA",
"country_code": "US",
"postal_code": "921820001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.