MR. JERRY EDWARD CAVENDER II (NPI# 1003871666) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1003871666 |
| Entity Type | Individual |
| Full Name | MR. JERRY EDWARD CAVENDER II |
| Credential | ATC |
| Practice Address |
901 W Francis St Ontario CA 91762-6214 |
| Mailing Address |
Po Box 2257 Glendora CA 91740-2257 |
| Practice Telephone | 9099887411 |
| Practice Fax Number | 9094675238 |
| Mailing Telephone | 6268258144 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
901 W FRANCIS ST |
| City | ONTARIO |
| State | CA |
| Zip Code | 91762-6214 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366093486 | Samantha Jo Brumfield | Nurse Practitioner | 5562 Central Avenue, Suite 300, Chino, CA 91762 | 2019-09-20 |
| 1215598578 | Janet Murphy | Behavior Technician | 1520 North Mountain Ave., Ste 206, Ontario, CA 91762 | 2019-06-26 |
| 1437717550 | Fjs Hearing Professionals | Hearing Instrument Specialist | 528 N Palm Ave, Ontario, CA 91762 | 2019-06-04 |
| 1669990768 | Claudia Juarez Tapia | Counselor | 125 W F Street, Ontario, CA 91762 | 2017-09-08 |
| 1093230468 | David Rayo | Respiratory Therapist, Registered | 805 W E St, Ontario, CA 91762 | 2017-08-07 |
| 1215475348 | Chinmay Patel | Physical Therapist | 910 S Mountain Avenue Unite A, Ontario, CA 91762 | 2017-02-09 |
| 1003265604 | Bambi Mpiana | Dentist | 1337 N Mountain Ave Ste 1, Ontario, CA 91762 | 2016-06-06 |
| 1548630940 | Ned Paniagua, Dmd A Professional Corporation | Dentist | 533 W. Holt Blvd., Suite B, Ontario, CA 91762 | 2015-09-29 |
| 1568865251 | Jennifer Estberg | Student in an Organized Health Care Education/Training Program | 317 W. F Street, Ontario, CA 91762 | 2014-10-08 |
| 1447660873 | Agha Zulfequar Hayder | Nurse Practitioner | 1001 West 6th Street, Suite B., Ontario, CA 91762 | 2014-05-07 |
| Find all providers in zip 91762 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144884677 | Carissa Lewallen | Specialist/Technologist | 614 E J St, Ontario, CA 91764-2820 | 2019-04-30 |
| 1174099089 | Janna Rayton | Specialist/Technologist | 1360 E D St Apt 3e, Ontario, CA 91764-4051 | 2018-10-17 |
| 1063917458 | Maria Veronica Heard | Specialist/Technologist | 740 E Princeton St, Ontario, CA 91764 | 2018-03-27 |
| 1841794351 | Amber Marie Mckee | Specialist/Technologist | 931 W Philadelphia St, Ontario, CA 91762-6218 | 2018-03-20 |
| 1285023143 | Scott Evanson | Specialist/Technologist | 650 College Blvd, Ontario, OR 97914-3423 | 2015-01-15 |
| 1649643289 | Steven Payson | Specialist/Technologist | 650 College Blvd, Ontario, OR 97914-3423 | 2015-11-04 |
| 1982085478 | Tonya Jo Gruel-wright | Specialist/Technologist | 1750 W 4th St, Ontario, OH 44906-1770 | 2015-06-10 |
| 1295016459 | Sarah M Young | Specialist/Technologist | 715 Richland Mall, Ontario, OH 44906-3802 | 2011-09-01 |
| 1902871395 | Allyson Lee Barton | Specialist/Technologist | 840 Sw 4th Ave, Ontario, OR 97914-2633 | 2006-02-21 |
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| 1790385466 | Tamia Shoshone | Specialist/Technologist | 2823 Diaz Lane, Bishop, CA 93514 | 2020-10-30 |
| 1639779630 | Taylor Anderson | Specialist/Technologist | 3320 Honolulu Ave Apt 11, La Crescenta, CA 91214-3389 | 2020-10-28 |
| 1548869571 | Joshua Watersjackson | Specialist/Technologist | 430406 Las Pulgas, Camp Pendleton, CA 92055 | 2020-10-21 |
| 1063011278 | Hilary Ann King | Specialist/Technologist | 824 W Maple Ave, Tulare, CA 93274-2609 | 2020-10-19 |
| 1568069854 | Tess Buchanan | Specialist/Technologist | 4480 Leatherwood Ct, Concord, CA 94521-4416 | 2020-10-08 |
| 1407453343 | Peter Wang | Specialist/Technologist | 3034 Belmont Dr, Lodi, CA 95242-9732 | 2020-10-05 |
| 1164029138 | Marisa Angelina Terrazas | Specialist/Technologist | 1416 Rampart Dr, Roseville, CA 95661-4749 | 2020-10-02 |
| 1427665645 | Alvaro Juarez Jr. | Specialist/Technologist | 31550 Palomar Rd, Menifee, CA 92584-9258 | 2020-09-30 |
| 1407462237 | Lorenzo Aguirre | Specialist/Technologist | 1836 Lapham Dr, Modesto, CA 95354-3900 | 2020-09-17 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.