TREVOR GLENN ADDISON (NPI# 1295264653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295264653 |
| Entity Type | Individual |
| Full Name | TREVOR GLENN ADDISON |
| Credential | ATC |
| Practice Address |
1620 Pajaro Ct. Fremont CA 94539 |
| Mailing Address |
1620 Pajaro Ct Fremont CA 94539-4430 |
| Practice Telephone | (510) 673-2085 |
| Mailing Telephone | 5106732085 |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2017-06-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207PS0010X |
Emergency Medicine Specialization: Sports Medicine |
2000026911 | CA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447762794 | Trevor J. Addison | Physical Therapy Assistant | 9 Yellow Wood Way, Beckley, WV 25801-7126 | 2017-10-26 |
| Street Address |
1620 PAJARO CT. |
| City | FREMONT |
| State | CA |
| Zip Code | 94539 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366073553 | Anna Maria Lukasik | Physical Therapist | 863 Ridgevie Terrace, Fremont, CA 94539 | 2020-01-28 |
| 1194261941 | Jianying Liang | Acupuncturist | 46292 Warm Springs Blvd Unit 638, Fremont, CA 94539 | 2017-01-17 |
| 1447604525 | Infusion Express of California Inc | Clinic/Center | 43360 Mission Blvd, Suite 100, Fremont, CA 94539 | 2016-04-14 |
| 1932586989 | Kathren J Michela | Specialist/Technologist, Other | 47063 Benns Terr, Fremont, CA 94539 | 2015-04-29 |
| 1518367846 | Golder Stone International, Inc | Clinic/Center | 46249 Warm Springs Blve Suite 1, Fremont, CA 94539 | 2014-08-22 |
| 1619397858 | Yuan Si | Acupuncturist | 43433 Mission Blvd, Suite 102, Fremont, CA 94539 | 2014-04-25 |
| 1376883256 | Gifty Aidoo | Nurse Practitioner | 39654 Mission Blvd, Fremont, CA 94539 | 2013-02-28 |
| 1811243892 | Pushpa Dewanimal Jagtiani | Internal Medicine | 702 Patriot Place, Fremont, CA 94539 | 2012-07-27 |
| 1053674614 | Nishi Shahi | Pharmacist | 1934 Vinehill Circle, Fremont, CA 94539 | 2012-06-19 |
| 1457620254 | Edward Alan Decoite | Dentist | 43195 Mission Blvd., Suite A-z, Fremont, CA 94539 | 2011-12-22 |
| Find all providers in zip 94539 | ||||
| Taxonomy Code | 207PS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| Specialization | Sports Medicine |
| An emergency physician with special knowledge in sports medicine is responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention and management of injury and illness. A sports medicine physician has knowledge and experience in the promotion of wellness and the role of exercise in promoting a healthy lifestyle. Knowledge of exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation and epidemiology is essential to the practice of sports medicine. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/. American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548887441 | Juleyka Angelis Andino Rivera | Emergency Medicine | 3303 S Archibald Ave # 1-242, Ontario, CA 91761-7900 | 2020-06-26 |
| 1396371084 | Jeremy Alvarez | Emergency Medicine | 631 W Ortega St Apt F, Santa Barbara, CA 93101-6445 | 2020-03-13 |
| 1861027625 | Jeremy Scott Vandehurst | Emergency Medicine | 2170 South Ave # B, South Lake Tahoe, CA 96150-7008 | 2020-03-11 |
| 1215570775 | Asa Kristian Scott | Emergency Medicine | 2560 Lambert Dr, Pasadena, CA 91107-2618 | 2019-10-28 |
| 1508413535 | Chullainn F Kelly | Emergency Medicine | 130 Descanso Dr Unit 233, San Jose, CA 95134-1869 | 2019-08-23 |
| 1952570319 | Ahimsa P Sumchai | Emergency Medicine | 936 Enterprise Drive, Golden State Md Health & Wellness, Sacramento, CA 95825-3916 | 2008-02-29 |
| 1144347998 | Dennis Lee Chez | Emergency Medicine | 11105 Donner Pass Rd, Truckee, CA 96161-4840 | 2007-03-26 |
| 1871517953 | John J Plosay IIi | Emergency Medicine | 1700 E Walnut Ave, Suite 250, El Segundo, CA 90245-2605 | 2006-07-26 |
| 1972568467 | Kirk C Casey | Emergency Medicine | 100 Independence Cir, Chico, CA 95973-0258 | 2006-04-19 |
| 1821078734 | Sam Jw Romeo | Emergency Medicine | 1801 Colorado Ave, Suite 290, Turlock, CA 95382 | 2006-01-18 |
| 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.