Active NPI
Jaida Bailey
- Athletic Trainer
- Moreno Valley, CA
National Provider Identifier
1871336065
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2000056237
- Practice address
- 13790 Rockport CT
Moreno Valley, CA 92553-6002 - Phone
- (310) 817-1808
- NPI assigned
- Jun 15, 2024
- Sex
- Female
- 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 | 2000056237 | CA | Primary |
Addresses
Primary practice location
13790 Rockport CT
Moreno Valley, CA 92553-6002
Mailing address
13790 Rockport CT
Moreno Valley, CA 92553-6002
Phone (310) 817-1808
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2000056237 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1749168000000",
"number": "1871336065",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13790 ROCKPORT CT",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925536002",
"telephone_number": "310-817-1808"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13790 ROCKPORT CT",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925536002",
"telephone_number": "310-817-1808"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "JAIDA",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-15",
"last_updated": "2025-06-06",
"certification_date": "2025-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "2000056237",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moreno Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.