MR. KEVIN ANDERSON MA, ATC
NPI 1508194366
Specialist/Technologist - Athletic Trainer in Stockton, CA

Active since December 05, 2009
5151 PACIFIC AVE, STOCKTON, CA 95207(209) 954-5181 Get Directions Write a Review

NPPES record last updated: September 2, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Kevin Anderson Ma, Atc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. KEVIN ANDERSON MA, ATC (NPI 1508194366) is an individual athletic trainer provider in Stockton, California and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1508194366
Entity TypeIndividualMale
Primary Taxonomy2255A2300X
Provider Legal NameMR. KEVIN ANDERSONCredential: MA, ATC
Location Address5151 PACIFIC AVEStockton, CA 95207-6370
Mailing Address5151 Pacific AveStockton, CA 95207-6370 · (209) 954-5181
Sole ProprietorYes
Enumeration DateDecember 5, 2009
Last NPPES UpdateSeptember 2, 2019
NPI 1508194366 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2255A2300X
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.
5151 PACIFIC AVE, Stockton, CA 95207

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Licensed Psychiatric Technician
5151 PACIFIC AVE
STOCKTON, CA 95207
Student in an Organized Health Care Education/Training Program
5151 PACIFIC AVE
STOCKTON, CA 95207
Specialist/Technologist, Other
5151 PACIFIC AVE
STOCKTON, CA 95207
Clinic/Center (Federally Qualified Health Center (FQHC))
5151 PACIFIC AVE, LOCK CENTER ROOM 126 & 128
STOCKTON, CA 95207
Specialist/Technologist (Athletic Trainer)
5151 PACIFIC AVE
STOCKTON, CA 95207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kevin Anderson's NPI number?

The NPI number for Kevin Anderson is 1508194366. It was assigned to this individual provider in the NPPES registry on December 5, 2009.

Where is Kevin Anderson located?

Kevin Anderson practices at 5151 Pacific Ave, Stockton, CA 95207. The listed phone number is (209) 954-5181.

What is Kevin Anderson's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Kevin Anderson was last updated on September 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.