Gina Theresa Lannen, ATC, CSCS

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

030002048 Issued in CA

Practice address

1600 Henderson Ave BLDG 573
San Diego, CA 92140-5000

Phone

(619) 524-4101

NPI assigned

Feb 5, 2019

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

Other names 1

• Gina Theresa Maggio Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549324800000",
    "number": "1871058727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9073 COVINA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921263717",
            "telephone_number": "619-865-3219"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 HENDERSON AVE BLDG 573",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921405000",
            "telephone_number": "619-524-4101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANNEN",
        "first_name": "GINA",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": "030002048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GINA",
            "last_name": "MAGGIO",
            "middle_name": "THERESA",
            "credential": "ATC, CSCS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Milton Lanier
• Jonna L Lanigan
• Oksana Alex Lanious, PHD
• Mary Lankford
• Naomi Hannah Lankford
• Lanoi Medical Group
• Ivi Leigh Lanoire
• Samantha Kristine Lanoue, AMFT
• Nicole Marie Lanouette, MD
• Kristoffer Lansang

• Athletic Trainer in San Diego, CA
• Providers in San Diego, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.

Verify at the official NPI Registry.