MR. JERRY EDWARD CAVENDER II ATC NPI 1003871666

Specialist/Technologist (Athletic Trainer) in Ontario, CA

About JERRY CAVENDER

Jerry Cavender is a provider in Ontario, CA. The NPI number assigned to this provider is 1003871666. The practitioner's primary taxonomy code is Specialist/Technologist (2255A2300X). The provider is registered as an individual and their NPI record was last updated 10 years ago.

NPI1003871666 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameMR. JERRY EDWARD CAVENDER II ATC
Provider Location Address901 W FRANCIS ST ONTARIO, CA 91762 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing AddressPO BOX 2257 GLENDORA, CA 91740 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?N/A
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date04-18-2006 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-08-2007 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

MR. JERRY EDWARD CAVENDER II ATC
901 W FRANCIS ST
ONTARIO, CA
ZIP 91762
Phone: (909) 988-7411
Fax: (909) 467-5238
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Mailing Address

MR. JERRY EDWARD CAVENDER II ATC
PO BOX 2257
GLENDORA, CA
ZIP 91740
Phone: (626) 825-8144

Primary Taxonomy

Taxonomy Code2255A2300X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationSpecialist/Technologist
TypeRespiratory, Developmental, Rehabilitative and Restorative Service Providers
SpecializationAthletic Trainer
Taxonomy DescriptionAthletic 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.

Map Location


MR. JERRY EDWARD CAVENDER II ATC address is 901 W FRANCIS ST ONTARIO, CA 91762