MR. JASON TREVOR ROBERTS


Address: 1000 Elysian Park Ave, Los Angeles, CA 90012-1112
Phone: 3232241500

MR. JASON TREVOR ROBERTS (NPI# 1487630034) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487630034
Entity Type Individual
Full Name MR. JASON TREVOR ROBERTS
Credential ATC, CSCS
Practice Address 1000 Elysian Park Ave
Los Angeles
CA 90012-1112
Mailing Address 509 State St
Scranton
IA 51462-8418
Practice Telephone 3232241500
Mailing Telephone 7725595703
Enumeration Date 2005-12-15
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor X

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2255A2300X Specialist/Technologist
Specialization: Athletic Trainer
AL 1543 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

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1811900343 Jason L. Roberts Specialist/Technologist 600 Fontana Blvd # D, Havelock, NC 28532-3104 2006-08-14
1578046801 Jason G Roberts Case Manager/Care Coordinator 130 Southern School Rd, Somerset, KY 42501 2018-09-12

Office Location

Street Address 1000 ELYSIAN PARK AVE
City LOS ANGELES
State CA
Zip Code 90012-1112

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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1033667662 Olga Witrago Case Manager/Care Coordinator 701 W Cersar Chavez Suite 201, Los Angeles, CA 90012 2016-09-12
1902269962 Samantha Martinez Licensed Practical Nurse 701 West Cesar Chavez Av, Los Angeles, CA 90012 2016-03-29
1760847313 Maria Emilia Manosa Rosales Social Worker 701 W. Cesar Chavez Ave., Los Angeles, CA 90012 2015-12-28
1609242999 Hilary Adams Psychologist 250 E 1st St Ste 300, Los Angeles, CA 90012 2015-08-20
1831586288 Thanh Ngoc Nguyen Trinh Nurse Practitioner 180 N Los Angeles St, Los Angeles, CA 90012 2015-04-23
1760880827 Bertha Regina Garcia Licensed Vocational Nurse 701 W. Cesar E. Chavez Ave Suite201, Los Angeles, CA 90012 2014-12-05
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Taxonomy Information

Taxonomy Code 2255A2300X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Specialist/Technologist
Specialization Athletic Trainer

Taxonomy Definition

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]

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1801303110 Alexander Calderon Specialist/Technologist 700 North Faring Road, Los Angeles, CA 90077-3525 2018-01-08
1265958847 Matthew Lee Specialist/Technologist 950 Blaine St, Los Angeles, CA 90015-1220 2017-08-16
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Competitor

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City LOS ANGELES
Zip Code 90012

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Dataset Information

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.

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