Active NPI
George Raul Torres III
- Athletic Trainer
- La Verne, CA
National Provider Identifier
1972191203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- F3519605
- Practice address
- 1950 3Rd St
La Verne, CA 91750-4401 - Phone
- (909) 593-3511
- NPI assigned
- Jan 3, 2021
- 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 | F3519605 | CA | Primary |
Addresses
Primary practice location
1950 3Rd St
La Verne, CA 91750-4401
Mailing address
1303 Durfee Ave
South El Monte, CA 91733-3900
Phone (626) 617-5583
Other practice location 1
1303 Durfee Ave
South El Monte, CA 91733-3900
Phone (626) 617-5583
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U2982504503 | Other | CA | CIGNA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | george.torres@laverne.edu | Direct |
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 |
|---|---|---|---|
| F3519605 | CA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1609632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1611878400000",
"number": "1972191203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1303 DURFEE AVE",
"city": "SOUTH EL MONTE",
"state": "CA",
"postal_code": "917333900",
"telephone_number": "626-617-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1950 3RD ST",
"city": "LA VERNE",
"state": "CA",
"postal_code": "917504401",
"telephone_number": "909-593-3511"
}
],
"practiceLocations": [
{
"address_1": "1303 Durfee Ave",
"address_purpose": "LOCATION",
"city": "South El Monte",
"state": "CA",
"postal_code": "917333900",
"country_code": "US",
"telephone_number": "626-617-5583",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TORRES",
"first_name": "GEORGE",
"middle_name": "RAUL",
"name_suffix": "III",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2021-01-03",
"last_updated": "2021-01-29",
"certification_date": "2021-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "CA",
"license": "F3519605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "U2982504503",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "george.torres@laverne.edu",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1950 3rd St",
"city": "LA Verne",
"state": "CA",
"country_code": "US",
"postal_code": "917504401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in La Verne, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 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.