Individual provider Active NPI

Cedrick Franklin, ACSM-CEP

  • Clinical Exercise Physiologist
  • Peoria, AZ
National Provider Identifier
1902541105
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Exercise PhysiologistTaxonomy code 224Y00000X
Practice address
8201 W Beardsley Rd Apt 2018
Peoria, AZ 85382-6490
Phone
(562) 665-9859
NPI assigned
May 2, 2022
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Exercise Physiologist 224Y00000X NU Primary

Addresses

Primary practice location

8201 W Beardsley Rd Apt 2018
Peoria, AZ 85382-6490

Mailing address

730 Sturbridge Dr
La Habra, CA 90631-6325

Other practice location 1

730 Sturbridge Dr
LA Habra, CA 90631-6325
Phone (562) 665-9859

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": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1902541105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 STURBRIDGE DR",
            "city": "LA HABRA",
            "state": "CA",
            "postal_code": "906316325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 W BEARDSLEY RD APT 2018",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826490",
            "telephone_number": "562-665-9859"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 Sturbridge Dr",
            "address_purpose": "LOCATION",
            "city": "LA Habra",
            "state": "CA",
            "postal_code": "906316325",
            "country_code": "US",
            "telephone_number": "562-665-9859",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRANKLIN",
        "first_name": "CEDRICK",
        "name_prefix": "Mr.",
        "credential": "ACSM-CEP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-02",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.