FREDY CELEDON (NPI# 1487271524) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487271524 |
| Entity Type | Individual |
| Full Name | FREDY CELEDON |
| Credential | SOLE PROPRIETORSHIP |
| Practice Address |
18111 Nordhoff St Northridge CA 91330-0001 |
| Mailing Address |
244 Warren Ave Santa Paula CA 93060-3238 |
| Practice Telephone | 8186771200 |
| Mailing Telephone | 8057650034 |
| Enumeration Date | 2020-07-04 |
| Last Update Date | 2020-07-04 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
18111 NORDHOFF ST |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91330-0001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922097138 | James Steven Merrin | Internal Medicine | 18111 Nordhoff St, Northridge, CA 91330-8270 | 2005-10-19 |
| 1649886508 | Steven J Grech | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-8200 | 2020-09-16 |
| 1235747148 | Kaitlynn Michelle Wright | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-16 |
| 1194343343 | Jailene Alejandra Pina | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-13 |
| 1932727013 | Haley Nicole Tsarofski | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-07-06 |
| 1346867868 | Daiki Sugawara | Student in an Organized Health Care Education/Training Program | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-30 |
| 1811513351 | Maria V Shibata | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-21 |
| 1487270146 | Kelly Yanover | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-18 |
| 1013533892 | Adriana Urrutia | Specialist/Technologist | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-17 |
| 1184240004 | Victoria Rose Kelley | Student in an Organized Health Care Education/Training Program | 18111 Nordhoff St, Northridge, CA 91330-0001 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285285122 | Marilyn Magaram Center for Food Science, Nutrition & Dietetics | Clinic/Center | 18111 Nordhoff Street, Northridge, CA 91330 | 2019-09-23 |
| 1831703453 | Habib Toubedjian | Specialist/Technologist | 18111 Nordhoff St Redwood Hall 124, Northridge, CA 91330-0001 | 2020-09-01 |
| 1568012672 | Yugandhar Ramakrishna | Audiologist | 100 Monterey Hall 18111 Nordhoff Street, Northridge, CA 91330-0001 | 2019-09-19 |
| 1013574201 | Michael Kelly Carter | Specialist/Technologist | 1811 Nordoff Street, Northridge, CA 91330-0001 | 2019-05-22 |
| 1548824469 | Youmna Haddad | Speech-Language Pathologist | 18111 Nordhoff Street Monterey Hall 100, Northridge, CA 91330-0001 | 2019-04-25 |
| 1295201820 | Vickie Yu | Speech-Language Pathologist | 18111 Nordhoff Street Monterey Hall Csun, Northridge, CA 91330-0001 | 2018-10-22 |
| 1275024861 | Ellie Ann Jones | Specialist/Technologist | 18411 Nordhoff St, Northridge, CA 91330-0001 | 2018-05-20 |
| 1962911867 | Heather Lauryn Gittins | Specialist/Technologist | 1811 Nordhoff Street, Northridge, CA 91330-0001 | 2017-09-22 |
| 1063921963 | John Daniel Espinoza | Specialist/Technologist | 1811 Nordhoff St Cal State Northridge, Northridge, CA 91330-0001 | 2017-09-22 |
| 1780193680 | Naomi Shapira | Specialist/Technologist | 1811 Nordhoff Street Cal State Northridge, Northridge, CA 91330-0001 | 2017-09-22 |
| Find all providers in zip 91330 | ||||
| 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 |
|---|---|---|---|---|
| 1831703453 | Habib Toubedjian | Specialist/Technologist | 18111 Nordhoff St Redwood Hall 124, Northridge, CA 91330-0001 | 2020-09-01 |
| 1013574201 | Michael Kelly Carter | Specialist/Technologist | 1811 Nordoff Street, Northridge, CA 91330-0001 | 2019-05-22 |
| 1336635531 | Kristel Fortuny Bushner | Specialist/Technologist | 9555 Reseda Blvd, 309, Northridge, CA 91324 | 2018-07-11 |
| 1275024861 | Ellie Ann Jones | Specialist/Technologist | 18411 Nordhoff St, Northridge, CA 91330-0001 | 2018-05-20 |
| 1326551151 | Isabella Leah Pregozen | Specialist/Technologist | 18111 Nordhoff St Redwood Hall, Northridge, CA 91330-4728 | 2017-11-15 |
| 1962911867 | Heather Lauryn Gittins | Specialist/Technologist | 1811 Nordhoff Street, Northridge, CA 91330-0001 | 2017-09-22 |
| 1063921963 | John Daniel Espinoza | Specialist/Technologist | 1811 Nordhoff St Cal State Northridge, Northridge, CA 91330-0001 | 2017-09-22 |
| 1780193680 | Naomi Shapira | Specialist/Technologist | 1811 Nordhoff Street Cal State Northridge, Northridge, CA 91330-0001 | 2017-09-22 |
| 1497264303 | Alexa Erin Dehaeseleer | Specialist/Technologist | 18111 Nordhoff Street Cal. State Northridge, Northridge, CA 91330-8287 | 2017-09-22 |
| 1679082572 | Phillip John Antonio | Specialist/Technologist | 18111 Nordhoff Street, California State Northridge, Northridge, CA 91330-8287 | 2017-09-22 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91330 |
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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.