MR. NICHOLAS MARK TAVOUKJIAN (NPI# 1821527037) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821527037 |
| Entity Type | Individual |
| Full Name | MR. NICHOLAS MARK TAVOUKJIAN |
| Credential | ATC |
| Practice Address |
200 E Del Mar Blvd Ste 302 Pasadena CA 91105-2552 |
| Mailing Address |
2135 E Bellbrook St Covina CA 91724-2347 |
| Practice Telephone | 6266838536 |
| Practice Fax Number | 6266838236 |
| Mailing Telephone | 6262529296 |
| Enumeration Date | 2017-06-09 |
| Last Update Date | 2017-06-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| 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 |
200 E DEL MAR BLVD STE 302 |
| City | PASADENA |
| State | CA |
| Zip Code | 91105-2552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073654265 | Kathryn Kumagai Shimamura | Physical Therapist | 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | 2007-02-09 |
| 1861024713 | Brian Q Cheah | Physical Therapist | 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | 2020-02-09 |
| 1013491117 | Tiffany Lorraine Waniczek-nowicki | Physical Therapist | 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | 2018-09-24 |
| 1073905139 | Anne Ellis | Physical Therapist | 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | 2015-02-26 |
| 1861680902 | Ryan Katsumi Kishimoto | Physical Therapist | 200 E Del Mar Blvd Ste 302, Pasadena, CA 91105-2552 | 2007-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619451697 | Tonya Michlin | Registered Nurse | 800 Fairmount Ave Ste 110, Pasadena, CA 91105 | 2018-09-17 |
| 1639674161 | David Marcus Md, Inc. | Psychiatry & Neurology | 107 S. Fair Oaks Avenue, Suite #315, Pasadena, CA 91105 | 2018-03-27 |
| 1548778541 | Elias & Jun Dental Corp | Dentist | 301 S. Fair Oaks Ave., Ste 107, Pasadena, CA 91105 | 2018-01-12 |
| 1013429745 | Whitney Catalano | Dietitian, Registered | 100 S Orange Grove Blvd, 103, Pasadena, CA 91105 | 2017-11-03 |
| 1518485630 | Marlon O Miller | Counselor | 1020 South Arroyo Parkway, Pasadena, CA 91105 | 2017-09-08 |
| 1316469976 | Alexandra Scott | Speech-Language Pathologist | 235 La Vereda Road, Pasadena, CA 91105 | 2017-07-14 |
| 1346770443 | Amanda Grace Gentz | Rehabilitation Practitioner | 210 S De Lacey, Ste 110, Pasadena, CA 91105 | 2017-06-13 |
| 1427598390 | Melina Gomez Loza | Licensed Vocational Nurse | 66 Hilburt St #2, Pasadena, CA 91105 | 2017-02-27 |
| 1588115281 | Ramon Banuelos | Rehabilitation Practitioner | 210 S. Delacey Ave Suite 110, Pasadena, CA 91105 | 2016-10-18 |
| 1922554245 | Daniel Joseph Ybarra | Student in an Organized Health Care Education/Training Program | 100 W. California Blvd. Pasadena, Ca 91105, Pasadena, CA 91105 | 2016-08-28 |
| Find all providers in zip 91105 | ||||
| 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 |
|---|---|---|---|---|
| 1851857254 | Gwendalyn Nicole Matejka | Specialist/Technologist | 4903 Brower Crest Dr, Pasadena, TX 77504-1745 | 2019-02-11 |
| 1376008854 | Samantha Wright | Specialist/Technologist | 8534 Main Ave, Pasadena, MD 21122-3155 | 2019-02-08 |
| 1699243378 | Kaitlyn Whipp | Specialist/Technologist | 8493 Laurel Rd, Pasadena, MD 21122-3000 | 2018-11-11 |
| 1497259311 | Shelby Daly | Specialist/Technologist | 1200 E California Blvd # Mc 1/2, Pasadena, CA 91125-0001 | 2018-03-23 |
| 1285135236 | Kourtney Danielle Mclain | Specialist/Technologist | 7914 Leeds Dr, Pasadena, MD 21122-6447 | 2018-02-26 |
| 1023524188 | Preline Tado Bonifacio | Specialist/Technologist | 550 N Catalina Ave Apt 8, Pasadena, CA 91106-1073 | 2017-12-26 |
| 1952840803 | Jacqueline Goff | Specialist/Technologist | 608 Eliot Rd, Pasadena, MD 21122-2148 | 2017-02-13 |
| 1285009902 | Rob Blake Mikels | Specialist/Technologist | 1030 E California Blvd, Pasadena, CA 91106-4042 | 2015-12-07 |
| 1669846549 | Revae Rivera | Specialist/Technologist | 2121 Cherrybrook Ln, Pasadena, TX 77502-4101 | 2015-11-16 |
| 1104296763 | Martin Lawerence Jose Llamas | Specialist/Technologist | 2045 Jefferson Dr, Pasadena, CA 91104-1732 | 2015-09-25 |
| Find all providers in PASADENA | ||||
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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.