MR. KENNETH C MCCALL JR. (NPI# 1023566924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023566924 |
| Entity Type | Individual |
| Full Name | MR. KENNETH C MCCALL JR. |
| Credential | ATC, CSCS, EMT |
| Practice Address |
789 Wildcat Way Brea CA 92821-7402 |
| Practice Telephone | 7149907850 |
| Mailing Telephone | 7149907850 |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043205263 | Kenneth L Mccall IIi | Pharmacist | 1300 S Coulter St, Office 321, Amarillo, TX 79106-1712 | 2005-09-14 |
| Street Address |
789 WILDCAT WAY |
| City | BREA |
| State | CA |
| Zip Code | 92821-7402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844921 | Christina Marie Iezza | Physical Medicine & Rehabilitation | 500 W. Central Ave, Suite B, Brea, CA 92821 | 2020-02-28 |
| 1962052068 | Joanne Chung | Behavioral Analyst | 3050 Saturn Street, #102, Brea, CA 92821 | 2019-09-19 |
| 1508336736 | Sonia Montez | Physical Therapy Assistant | Jump N Schout, 500 W Central Ave, Brea, CA 92821 | 2018-11-30 |
| 1215411921 | Eye View Optometry, Inc | Optometrist | 605 E. Imperial Hwy, Suite C, Brea, CA 92821 | 2018-09-18 |
| 1700395480 | Sheetal Patel | Registered Nurse | 955 W. Imperial Hwy., Suite 220, Brea, CA 92821 | 2017-09-25 |
| 1952827826 | Grace Cho | Occupational Therapist | 875 N Brea Blvd # 600, Brea, CA 92821 | 2017-08-22 |
| 1063959781 | Veronica Meza | Lactation Consultant, Non-RN | 551 Discovery Lane, #115, Brea, CA 92821 | 2017-01-20 |
| 1780045815 | Audrey Alva | Specialist/Technologist | 460 W. Lambert Road, Brea, CA 92821 | 2016-03-17 |
| 1558734921 | Eun Kim Chiropractic Inc | Chiropractor | 411 Atlas Street, Suite A, Brea, CA 92821 | 2015-11-07 |
| 1053784512 | Caremore Health Plan | Nurse Practitioner | 420 W. Central Avenue #a, Brea, CA 92821 | 2015-11-05 |
| Find all providers in zip 92821 | ||||
| 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 |
|---|---|---|---|---|
| 1801399852 | Katie Elm | Specialist/Technologist | 3313 Greenleaf Dr, Brea, CA 92823-6326 | 2018-03-15 |
| 1003268962 | Nicholas Hattrup | Specialist/Technologist | 1446 Alta Mesa Way, Brea, CA 92821-2063 | 2016-07-05 |
| 1154708253 | Grant Stuart | Specialist/Technologist | 2123 Wildflower Cir, Brea, CA 92821-4438 | 2015-04-28 |
| 1932242625 | Cristi D Mccormack | Specialist/Technologist | 832 Willow Dr, Brea, CA 92821-5050 | 2007-02-14 |
| 1609919224 | Nicole E. Ognibene | Specialist/Technologist | 286 S Poplar Ave, Apt 7, Brea, CA 92821-5585 | 2007-02-14 |
| 1639135759 | James Thomas Wilson | Specialist/Technologist | 696 Magnolia Ave, Brea, CA 92821-6552 | 2006-04-26 |
| 1780144915 | Nicholas Cvjetkovic | Specialist/Technologist | 471 W Lambert Rd Ste 106, Brea, CA 92821-3921 | 2019-03-22 |
| 1306953484 | Ronald Paul Samson | Specialist/Technologist | 1800 E Lambert Rd, Ste 220, Brea, CA 92821-4370 | 2006-08-24 |
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|---|---|---|---|---|
| 1003417981 | David Yudis | Specialist/Technologist | 82 Victoria Ste 201, Newport Beach, CA 92660-9009 | 2020-11-05 |
| 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.